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DerChirurg.70681262.eng.abstr
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DerChirurg.70681262.eng.abstr
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"In a study compiling the data in a prospective manner , the value of the pylorus-preserving duodenopancreatectomy ( PPPD ) compared to partial duodenopancreatectomy ( PD ) in patients suffering from ductal pancreatic carcinoma was assessed . Postoperative morbidity , mortality and overall prognosis were analysed . From May 1990 to April 1995 130 patients entered the study ; 61 underwent PD , 69 patients had PPPD . The patients were regularly followed up every 6 months and the median follow-up period for all patients was 36 months . PPPD in patients with ductal pancreatic head carcinoma without infiltration of the duodenum is the technically simpler and faster operation method with significantly less blood loss . Moreover , PPPD did not lead to increased postoperative complications . The median survival rate of patients in the PD group was 10.8 months , in the PPPD group 21 months . This significant difference derives from the fact that the tumor stages were unevenly distributed . Regarding the most common stage ( stage III according to UICC ) the median survival times were almost identical ( PD group 10.1 months , PPPD group 11.2 months ) . The PPPD operation seems to be a sufficiently radical procedure which does not worsen the prognosis of the disease ."
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] |
DerChirurg.70681268.eng.abstr
|
DerChirurg.70681268.eng.abstr
|
[
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"Laser-induced interstitial thermotherapy ( LITT ) is a promising method of treating different types of tumors . To increase the effectiveness of LITT , a new thermo-controlled application system for minimal invasive intervention was designed . This laser system consists of a laser applicator 3 mm in diameter , insertion equipment and an Nd : YAG laser source . The power of the laser source is controlled dynamically by thermosensors in a water-cooling system of the laser applicator . In in vivo experiments in five pigs , within 10 min we found homogeneous coagulation regions in the liver that were of 3 cm and 5 cm in diameter . Via ultrasound we observed in real time the increasing coagulation zone that appeared as a hyperechogenic halo . However , due to perifocal edema , the real coagulation area was smaller than detected by ultrasound . Macroscopically and microscopically , the coagulation zones showed well-demarcated borders of the coagulation lesions , and the surrounding tissue appeared vital . The reparative reaction after irradiation was early fibrosis . In the course of 4 weeks , the surrounding scar capsule , containing fibrocytes , biliary ductules and collagen fibers enlarged . As a result , the coagulation necrosis became more and more fragmented between collagen fibers and was largely resorbed . The absence of complications in our animal experiments suggest that the technique of thermo-controlled laser light application is safe and useful in therapy for metastases that are not resectable ."
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] |
[] |
[] |
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},
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},
{
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},
{
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},
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},
{
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},
{
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},
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},
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},
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},
{
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},
{
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},
{
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t3",
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},
{
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r5-t3.1-t1.1",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r6-t8.1-t6.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70681268.eng.abstr-s12-t8",
"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t6",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r7-t5.1-t1.1",
"type": "result_of",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t1",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r8-t6.1-t8.1",
"type": "associated_with",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r9-t6.1-t1.1",
"type": "affects",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t1",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r10-t3.1-t6.1",
"type": "causes",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t6",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r11-t6.1-t5.1",
"type": "result_of",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t5",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r12-t8.1-t1.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t1",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r13-t1.1-t6.1",
"type": "performs",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r14-t1.1-t2.1",
"type": "affects",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r15-t1.1-t8.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t8",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r16-t1.1-t5.1",
"type": "result_of",
"arg1_id": "DerChirurg.70681268.eng.abstr-s12-t1",
"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t5",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r17-t1.1-t6.1",
"type": "degree_of",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t6",
"normalized": []
},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r18-t6.1-t1.1",
"type": "degree_of",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t1",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r19-t8.1-t5.1",
"type": "measures",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t5",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r20-t1.1-t6.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t6",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r21-t6.1-t1.1",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r22-t6.1-t1.1",
"type": "occurs_in",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t1",
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},
{
"id": "DerChirurg.70681268.eng.abstr-s12-r23-t1.1-t8.1",
"type": "performs",
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"arg2_id": "DerChirurg.70681268.eng.abstr-s12-t8",
"normalized": []
}
] |
DerChirurg.70681281.eng.abstr
|
DerChirurg.70681281.eng.abstr
|
[
{
"id": "DerChirurg.70681281.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The longitudinal muscle ( LM ) represents a strong muscular structure of the anal canal situated between the internal ( IAS ) and the external anal sphincter ( EAS ) . Terminal fibres of this muscle insert at the submucosa of the anal canal , representing the m . canalis ani . Others cross the subcutaneous part of the EAS to become the m . corrugator ani . Thus , the LM connects the visceral and somatic parts of the anal sphincter complex . Histologically ganglionic cells and as Vater-Pacinian corpuscles can be identified inside the LM . Morphology , topography and histology of the LM suggest that this muscle participates in maintaining anorectal continence . It is mandatory that the exact functions of this muscular structure be to elaborated upon , if we are to understand the mechanism of anorectal continence ."
],
"offsets": [
[
0,
823
]
]
}
] |
[
{
"id": "DerChirurg.70681281.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"muscle"
],
"offsets": [
[
17,
23
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026845"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"anal sphincter"
],
"offsets": [
[
143,
157
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002760"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"muscle"
],
"offsets": [
[
192,
198
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026845"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"anal sphincter"
],
"offsets": [
[
420,
434
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002760"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"cells"
],
"offsets": [
[
471,
476
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007634"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"Morphology"
],
"offsets": [
[
544,
554
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543482"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"histology"
],
"offsets": [
[
572,
581
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019638"
},
{
"db_name": "UMLS",
"db_id": "C0205462"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s8-t3",
"type": "umlsterm",
"text": [
"muscle"
],
"offsets": [
[
610,
616
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026845"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s9-t1",
"type": "umlsterm",
"text": [
"exact"
],
"offsets": [
[
693,
698
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0059927"
}
]
},
{
"id": "DerChirurg.70681281.eng.abstr-s9-t2",
"type": "umlsterm",
"text": [
"functions"
],
"offsets": [
[
699,
708
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70681281.eng.abstr-s1-r1-t1.1-t2.1",
"type": "developmental_form_of",
"arg1_id": "DerChirurg.70681281.eng.abstr-s9-t1",
"arg2_id": "DerChirurg.70681281.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.70681281.eng.abstr-s1-r2-t2.1-t1.1",
"type": "surrounds",
"arg1_id": "DerChirurg.70681281.eng.abstr-s9-t2",
"arg2_id": "DerChirurg.70681281.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.70681281.eng.abstr-s8-r1-t2.2-t1.1",
"type": "issue_in",
"arg1_id": "DerChirurg.70681281.eng.abstr-s8-t2",
"arg2_id": "DerChirurg.70681281.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.70681281.eng.abstr-s9-r1-t1.1-t2.1",
"type": "affects",
"arg1_id": "DerChirurg.70681281.eng.abstr-s9-t1",
"arg2_id": "DerChirurg.70681281.eng.abstr-s9-t2",
"normalized": []
}
] |
DerChirurg.70681292.eng.abstr
|
DerChirurg.70681292.eng.abstr
|
[
{
"id": "DerChirurg.70681292.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Jaundice in critically ill patients may be difficult to explain . This study analyzes pathophysiologically relevant data , and discusses the prognostic value of hyperbilirubinemia . A total of 1275 patients were prospectively enrolled ; 7.6 % developed hyperbilirubinemia of at least 2 mg/dl . Mortality in icteric patients was significantly higher ( 29 % ) than in the non-icteric group . Sepsis , shock and the number of blood transfusions are very important in hyperbilirubinemia . Nevertheless , in critically ill patients , jaundice per se is not a sign of poor outcome ; indeed it only reflects the underlying disease ."
],
"offsets": [
[
0,
625
]
]
}
] |
[
{
"id": "DerChirurg.70681292.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Jaundice"
],
"offsets": [
[
0,
8
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022346"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
27,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"critically ill"
],
"offsets": [
[
12,
26
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0010340"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"value"
],
"offsets": [
[
152,
157
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042295"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"hyperbilirubinemia"
],
"offsets": [
[
161,
179
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020433"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
198,
206
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"hyperbilirubinemia"
],
"offsets": [
[
253,
271
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020433"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"Mortality"
],
"offsets": [
[
294,
303
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026566"
},
{
"db_name": "UMLS",
"db_id": "C0026565"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"icteric"
],
"offsets": [
[
307,
314
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022346"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
315,
323
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"non-icteric"
],
"offsets": [
[
370,
381
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022346"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"Sepsis"
],
"offsets": [
[
390,
396
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243026"
}
]
},
{
"id": "DerChirurg.70681292.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"shock"
],
"offsets": [
[
399,
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[] |
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}
] |
DerChirurg.70681297.eng.abstr
|
DerChirurg.70681297.eng.abstr
|
[
{
"id": "DerChirurg.70681297.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The implantation of a mesh is an essential step in laparoscopic inguinal hernia surgery . We present the case of a 22-year-old man who developed an unspecific and refractory syndrome of inguinal pain after a TAPP procedure for a primary inguinal hernia . Repeated reoperation for removement of clips and nerve transection were unsuccessful . By a transinguinal approach , 18 months after the first operation we removed a preperitoneal Prolene mesh which had shrunk and folded to 30 % of its original size . The problem of biocompatibility of meshes currently used in inguinal hernia surgery is discussed ."
],
"offsets": [
[
0,
605
]
]
}
] |
[
{
"id": "DerChirurg.70681297.eng.abstr-s1-t1",
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"implantation"
],
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[
4,
16
]
],
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{
"db_name": "UMLS",
"db_id": "C0029976"
}
]
},
{
"id": "DerChirurg.70681297.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hernia"
],
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[
73,
79
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019270"
}
]
},
{
"id": "DerChirurg.70681297.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"surgery"
],
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[
80,
87
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
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"db_id": "C0038895"
}
]
},
{
"id": "DerChirurg.70681297.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"inguinal hernia"
],
"offsets": [
[
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},
{
"id": "DerChirurg.70681297.eng.abstr-s5-r4-t2.2-t1.1",
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}
] |
DerChirurg.70681301.eng.abstr
|
DerChirurg.70681301.eng.abstr
|
[
{
"id": "DerChirurg.70681301.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hernias of the obturator foramen are rare . They are described mostly in elderly female patients in poor health . Often the correct diagnosis is stumbled upon as a result of surprising intraoperative findings . Surgical therapy is indicated often by the clinical symptoms of an incarcerated hernia . Herniation of the entire urinary bladder with hemorrhagic infarction has never been described before . For an anatomical reduction of the hernia it was neccesary to resect the superior pubic ramus . For plastic reconstruction a marlex mesh was used ."
],
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[
0,
550
]
]
}
] |
[
{
"id": "DerChirurg.70681301.eng.abstr-s1-t1",
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"Hernias"
],
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0,
7
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]
},
{
"id": "DerChirurg.70681301.eng.abstr-s2-t1",
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{
"id": "DerChirurg.70681301.eng.abstr-s2-t2",
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"female"
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}
]
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{
"id": "DerChirurg.70681301.eng.abstr-s2-t3",
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}
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{
"id": "DerChirurg.70681301.eng.abstr-s3-t2",
"type": "umlsterm",
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"findings"
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"id": "DerChirurg.70681301.eng.abstr-s4-t1",
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{
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}
]
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{
"id": "DerChirurg.70681301.eng.abstr-s4-t3",
"type": "umlsterm",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s4-t4",
"type": "umlsterm",
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"hernia"
],
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"id": "DerChirurg.70681301.eng.abstr-s5-t1",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-t2",
"type": "umlsterm",
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"Herniation"
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300,
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{
"id": "DerChirurg.70681301.eng.abstr-s5-t3",
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]
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-t4",
"type": "umlsterm",
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]
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"urinary bladder"
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325,
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{
"id": "DerChirurg.70681301.eng.abstr-s6-t1",
"type": "umlsterm",
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{
"id": "DerChirurg.70681301.eng.abstr-s6-t2",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"plastic"
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]
},
{
"id": "DerChirurg.70681301.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"marlex"
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{
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"db_id": "C0127031"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70681301.eng.abstr-s2-r1-t1.1-t2.1",
"type": "interacts_with",
"arg1_id": "DerChirurg.70681301.eng.abstr-s7-t1",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s2-r2-t2.1-t1.1",
"type": "interacts_with",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r1-t2.1-t1.1",
"type": "treats",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r2-t1.1-t3.1",
"type": "treats",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r3-t2.1-t1.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r4-t2.1-t3.1",
"type": "treats",
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"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r5-t1.1-t3.1",
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"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r6-t1.1-t2.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t2",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s4-r7-t3.1-t1.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70681301.eng.abstr-s5-t3",
"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r1-t3.2-t1.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70681301.eng.abstr-s5-t3",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r2-t3.2-t1.1",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r3-t2.1-t1.1",
"type": "causes",
"arg1_id": "DerChirurg.70681301.eng.abstr-s7-t2",
"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r4-t1.1-t3.2",
"type": "degree_of",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r5-t5.1-t3.2",
"type": "location_of",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r7-t1.1-t3.2",
"type": "associated_with",
"arg1_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r8-t1.1-t3.2",
"type": "result_of",
"arg1_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70681301.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r9-t3.2-t1.1",
"type": "degree_of",
"arg1_id": "DerChirurg.70681301.eng.abstr-s5-t3",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r10-t5.1-t1.1",
"type": "location_of",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r11-t3.1-t1.1",
"type": "location_of",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r12-t2.1-t3.2",
"type": "affects",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s5-r13-t2.1-t1.1",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "DerChirurg.70681301.eng.abstr-s7-r1-t1.1-t2.1",
"type": "interacts_with",
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},
{
"id": "DerChirurg.70681301.eng.abstr-s7-r2-t2.1-t1.1",
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"arg2_id": "DerChirurg.70681301.eng.abstr-s7-t1",
"normalized": []
}
] |
DerChirurg.70681304.eng.abstr
|
DerChirurg.70681304.eng.abstr
|
[
{
"id": "DerChirurg.70681304.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Arteriovenous fistula is a rare complication following vascular trauma . We report a case of an arteriovenous fistula of the neck after a penetrating injury . The only presenting symptoms were a thrill and a machinery murmur . There were no signs of cardiac insufficiency . Duplex scan and arteriography detected an arteriovenous fistula between the superior thyroid artery and the superior thyroid vein . Surgical therapy was straight-forward . Treatment should be carried out as soon as possible , and is then usually simple and successful ."
],
"offsets": [
[
0,
543
]
]
}
] |
[
{
"id": "DerChirurg.70681304.eng.abstr-s1-t1",
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"text": [
"fistula"
],
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[
14,
21
]
],
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{
"db_name": "UMLS",
"db_id": "C0016169"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"complication"
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"db_id": "C0009566"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"trauma"
],
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"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"Arteriovenous fistula"
],
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[
0,
21
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],
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"db_name": "UMLS",
"db_id": "C0003855"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s2-t1",
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"fistula"
],
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110,
117
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"db_id": "C0016169"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"neck"
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125,
129
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{
"db_name": "UMLS",
"db_id": "C0027530"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"injury"
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"db_id": "C0175677"
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}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"arteriovenous fistula"
],
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96,
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],
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"db_name": "UMLS",
"db_id": "C0003855"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
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[
138,
156
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"db_name": "UMLS",
"db_id": "C0043254"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s3-t1",
"type": "umlsterm",
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"symptoms"
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]
},
{
"id": "DerChirurg.70681304.eng.abstr-s4-t1",
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},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t1",
"type": "umlsterm",
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]
},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t2",
"type": "umlsterm",
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"fistula"
],
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},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"thyroid"
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"db_id": "C0040134"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"artery"
],
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367,
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]
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{
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"db_id": "C0003842"
}
]
},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"thyroid"
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}
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},
{
"id": "DerChirurg.70681304.eng.abstr-s5-t6",
"type": "umlsterm",
"text": [
"vein"
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},
{
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] |
DerChirurg.80690001.eng.abstr
|
DerChirurg.80690001.eng.abstr
|
[
{
"id": "DerChirurg.80690001.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acute occlusive mesenteric ischemia is caused by a local impairment of splanchnic blood flow and poses a particular surgical challenge . Acute superior mesenteric occlusion is a medical/surgical emergency mandating prompt diagnosis ( clinical awareness , angiography ) and therapy ( exploratory laparotomy with possible arterial reconstruction ; embolectomy , thrombectomy ; and/or bowel resection ) . The difficulty of early diagnosis is probably the most important cause of the high mortality which varies from 70 % to 90 % in arterial and functional mesenteric ischemia and from 20 % to 70 % in an acute thrombosis of the mesenteric veins . Improved survival from nonocclusive mesenteric ischemia is dependent upon the identification of high-risk groups and on aggressive diagnostic and therapeutic measures ( intra-arterial infusion of papaverine through the angiographic catheter with or without bowel resection ) . For assessment of bowel viability , the clinical judgement during first- or second-look exploration is still the most reliable parameter . The surgical management of chronic mesenteric ischemia includes aortomesenteric grafting and transaortic endarterectomy in the majority of patients with comorbidity of cardiovascular arteriosclerotic diseases and results in a high rate of symptom-free patients . Prophylactic reconstruction of visceral arteries is indicated only in certain limited circumstances ."
],
"offsets": [
[
0,
1424
]
]
}
] |
[
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[] |
[] |
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] |
DerChirurg.80690008.eng.abstr
|
DerChirurg.80690008.eng.abstr
|
[
{
"id": "DerChirurg.80690008.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The surgeon dealing with oncological operations within the abdominal cavity will be frequently confronted with vascular problems . These include surgically relevant vascular anomalies , arteriosclerotic changes , tumor infiltration of vessels and iatrogenic vascular lesions . The diagnosis , indications and , above all , the vascular surgical techniques applied during oncological procedures on the pancreas and liver are described in this review ."
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[] |
[] |
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] |
DerChirurg.80690019.eng.abstr
|
DerChirurg.80690019.eng.abstr
|
[
{
"id": "DerChirurg.80690019.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients suffering from soft tissue sarcoma of the extremities may sometimes require vascular reconstruction to remove the tumor with adequate margins of clearance . Besides this , recurrent lymph node metastases are often affixed to neighboring vessels . MRI and angiography represent the adequate diagnostic procedures . Vessel-invasive sarcoma can hardly be treated by surgical resection with curative intent alone . If there is doubt about invasion of arteries and veins , the vessels should be resected and replaced by autologous vein graft . Soft tissue coverage is of major importance , particularly if prosthetic grafts are used or the resection is within an area of irradiated tissue . After radical resection and combined modality therapy , one can expect local recurrence rates similar to those without vessel invasion . To achieve this goal , surgical oncologists , vascular surgeons and plastic surgeons must work together . Today , amputation can hardly be justified even in vessel-invasive soft tissue tumors ."
],
"offsets": [
[
0,
1025
]
]
}
] |
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] |
[] |
[] |
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] |
DerChirurg.80690038.eng.abstr
|
DerChirurg.80690038.eng.abstr
|
[
{
"id": "DerChirurg.80690038.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acute limb ischemia is an emergency which regularly requires operative treatment in departments of general surgery . In about 70 % of cases there is an embolic reason for acute ischemia . In the majority of cases urgent operative desobliteration is required to guarantee limb salvage . The introduction of balloon catheters reduced the surgical trauma significantly in cases of long secondary thromboses . More complex procedures are required in patients with preexisting chronic arterial occlusive disease . The mortality of these emergency operations is still 10-20 % with a limb salvage rate of 80-90 % ."
],
"offsets": [
[
0,
607
]
]
}
] |
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10
]
],
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],
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19
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],
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{
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]
},
{
"id": "DerChirurg.80690038.eng.abstr-s4-t3",
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"text": [
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],
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[] |
[] |
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DerChirurg.80690048.eng.abstr
|
DerChirurg.80690048.eng.abstr
|
[
{
"id": "DerChirurg.80690048.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acute hemorrhage from pseudocysts and pseudoaneurysms is a threatening complication of chronic pancreatitis . Whilst surgical intervention still has high perioperative mortality ( 16.8 % ) , transcatheter arterial embolization is becoming more frequently used for suitable cases and appears to have lower mortality ( 6.1 % ) . We report on six patients treated in our unit . Four of them underwent primary surgical treatment , the other two were treated by embolisation . One of the latter patients subsequently required laparotomy for further treatment . All six patients survived . Comparing the literature covering the periods between 1951 and 1981 and between 1982 and 1996 , transcatheter embolisation seems to be valuable in controlling this type of bleeding , thereby reducing mortality ."
],
"offsets": [
[
0,
795
]
]
}
] |
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DerChirurg.80690061.eng.abstr
|
DerChirurg.80690061.eng.abstr
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"Laparoscopic cholecystectomy offers many advantages , but cardiopulmonary impaired patients may be endangered by the haemodynamic and respiratory effects of the pneumoperitoneum . Between June 1990 and December 1995 , laparoscopic cholecystectomies were performed on 19 high-risk patients ( ASA IV ) and conventional cholecystectomies on 26 patients with the same operative risk ( ASA IV ) . Out of 45 patients , 5 ( 11.1 % ) suffered intraoperative cardiopulmonal complications . Three belonged to the group with laparoscopic cholecystectomy ( 15,8 % ) and two to the group with open laparotomy ( 7.7 % ) . General postoperative complications occured in 15 cases ( 33.3 % ) , whereby patients of the conventional cholcystectomy group were concerned more often [ 46.2 % ( n = 12 ) versus 15.8 % ( n = 3 ) , P = 0.03 ] . The number of days spent in hospital after open cholecystectomy was higher ( P = 0.01 ) ( 11.6 +/- 5.6 days in the laparotomy group versus 7.6 +/- 5.0 days in the laparoscopy group ) . The classification as a high-risk patient indicates an elevation of the perioperative rate of complications in laparoscopic and open cholecystectomy , whereby the rate of postoperative complications is lower in the laparoscopic group ."
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[] |
[] |
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DerChirurg.80690066.eng.abstr
|
DerChirurg.80690066.eng.abstr
|
[
{
"id": "DerChirurg.80690066.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since 1975 , the Department of Surgery in the Grevenbroich Community Hospital ( Germany ) has applied a simplified technique of open appendectomy . The inhouse modified procedure without stump embedding has been performed in 3,448 cases to date . The same approach has been used in 1,463 laparoscopic appendectomies since 1991. In the laparoscopic procedure the stump is ligated solely with Roeder's loop . None of the 4,911 patients who have undergone either open or laparoscopic appendectomy have developed stump inadequacy or stercoral fistulae . According to the special literature , the complication rate after appendectomies without stump embedding is lower than that after standard procedures . In retrospect , laparoscopic appendectomy with simple ligation has confirmed the results achieved with simple ligation in open appendectomies . The technique should therefore become more common practice in open appendectomies , as well ."
],
"offsets": [
[
0,
939
]
]
}
] |
[
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"id": "DerChirurg.80690066.eng.abstr-s1-t2",
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] |
DerChirurg.80690072.eng.abstr
|
DerChirurg.80690072.eng.abstr
|
[
{
"id": "DerChirurg.80690072.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a prospective study the preoperative risk of alcohol addiction was evaluated in 46 patients with squamous cell carcinoma of the esophagus . In all patients the alcohol marker carbohydrate-deficient transferrin ( CDT ) was measured prior to esophagectomy and correlated with the incidence of postoperative withdrawal symptoms ( yes/no ) and the postoperative course ( good/moderate/poor/fatal ) . Withdrawal symptoms were more frequently observed in cases of elevated CDT values ( median of CDT with withdrawal 17.0 U/l vs without withdrawal 10.7 U/l ; P = 0.0006 ) . CDT values were significantly increased in case of a complicated postoperative course ( median of CDT for moderate/poor/fatal postoperative course 14.0 U/l vs good course 10.8 U/l ; P = 0.02 ) . The CDT value correlated ( P = 0.04 ) with the patient's history of preoperative alcohol consumption ( normal/increased/high ) . In a multivariate logistic regression analysis CDT and preoperative alcohol consumption were independent parameters to predict significantly the postoperative course and withdrawal . The sensitivity was 71.4 % and the specifity 84.4 % selecting the parameter \" postoperative withdrawal \" and a CDT cut-off point of 15.3 U/l . CDT can effectively identify patients with high alcohol consumption prior to esophagectomy ."
],
"offsets": [
[
0,
1312
]
]
}
] |
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"risk"
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40,
44
]
],
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{
"db_name": "UMLS",
"db_id": "C0035647"
}
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},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t2",
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"text": [
"alcohol"
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48,
55
]
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},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"patients"
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86,
94
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{
"id": "DerChirurg.80690072.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"cell"
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113
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"db_id": "C0007634"
}
]
},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"carcinoma"
],
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114,
123
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],
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"db_id": "C0007097"
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},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"esophagus"
],
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140
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],
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"db_id": "C0546837"
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{
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"db_id": "C0014876"
}
]
},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t7",
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"prospective study"
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"db_id": "C0033522"
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},
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"id": "DerChirurg.80690072.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"risk of"
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40,
47
]
],
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{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"alcohol addiction"
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48,
65
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"db_name": "UMLS",
"db_id": "C0085762"
}
]
},
{
"id": "DerChirurg.80690072.eng.abstr-s1-t10",
"type": "umlsterm",
"text": [
"squamous cell carcinoma"
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123
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],
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"db_name": "UMLS",
"db_id": "C0007137"
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},
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"type": "umlsterm",
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"patients"
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158
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"db_id": "C0030705"
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},
{
"id": "DerChirurg.80690072.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"alcohol"
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},
{
"id": "DerChirurg.80690072.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"marker"
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[
171,
177
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],
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"db_id": "C0005516"
}
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},
{
"id": "DerChirurg.80690072.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
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178,
200
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"db_id": "C0007004"
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]
},
{
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"type": "umlsterm",
"text": [
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201,
212
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"db_id": "C0040679"
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},
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243,
256
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"db_id": "C0085198"
}
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},
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"text": [
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"db_id": "C0021149"
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},
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DerChirurg.80690077.eng.abstr
|
DerChirurg.80690077.eng.abstr
|
[
{
"id": "DerChirurg.80690077.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From 1. 11. 93 to 30. 3. 97 , 1149 patients were prospectively studied during their ICU stay . Of them , 114 met the criteria of septic shock , with lethality of 47.3 % . A neural network was trained with datasets from 91 of these 114 patients . Testing the trained neural network with the remaining 23 patients , the following result was obtained : all 10 patients dying from septic shock were correctly predicted ; of 13 surviving patients , 12 were correctly identified ( sensitivity 100 % ; specifity 92.3 % ) ."
],
"offsets": [
[
0,
515
]
]
}
] |
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] |
[] |
[] |
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{
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{
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},
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{
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] |
DerChirurg.80690082.eng.abstr
|
DerChirurg.80690082.eng.abstr
|
[
{
"id": "DerChirurg.80690082.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Osteoarthritis ( OA ) influences the levels of free intraarticular glucosaminoglycans ( GAG ) . Little is known about the direction - decrease/increase - of these changes , and information on the correlation between GAG levels and the degree of OA is sparse . Objectives of this study were to investigate the correlation between intraarticular levels of sulphated and unsulphated GAG and the degree of experimental OA , the time course of these changes and whether GAG might be useful as a marker for OA . Twenty-one sheep were randomly assigned to three groups : ( 1 ) transsection of the posterolateral bundle of the anterior cruciate ligament , ACL ( TD ) , ( 2 ) medial meniscectomy ( ME ) , and ( 3 ) meniscectomy and resection of the ACL ( MV ) . During follow-up clinical and radiological examinations were done . After screening for intraarticular effusions , a joint tab was performed and the levels of hyaluronic acid and chondroitin sulphate were measured . The radiological scores differ significantly between group TD and groups ME and MV ( P 0.01 ) . Hyaluronic acid levels in ME and MV are significantly higher than in the controls . Significantly increased levels ( P 0.01 ) of chondroitin sulphate are found 6 months after ME and 1 year following TD . Clinical consequences : Hyaluronic acid levels - at least in the experimental setting - correspond to a certain degree with osteoarthrotic changes : increasing levels were found along with increasing postoperative interval and increasing grade of OA . Chondroitin sulphate , on the other hand seems , to lend itself as a marker for chondromalacia , in other words for prearthrotic deformities and early stages of OA ."
],
"offsets": [
[
0,
1686
]
]
}
] |
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14
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},
{
"id": "DerChirurg.80690082.eng.abstr-s1-t2",
"type": "umlsterm",
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"glucosaminoglycans"
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67,
85
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{
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131
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{
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"time"
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{
"id": "DerChirurg.80690082.eng.abstr-s4-t1",
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},
{
"id": "DerChirurg.80690082.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"anterior"
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{
"id": "DerChirurg.80690082.eng.abstr-s4-t3",
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"ligament"
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]
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{
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]
},
{
"id": "DerChirurg.80690082.eng.abstr-s6-t2",
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"text": [
"joint"
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]
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-t4",
"type": "umlsterm",
"text": [
"chondroitin"
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-t5",
"type": "umlsterm",
"text": [
"sulphate"
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-t6",
"type": "umlsterm",
"text": [
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"id": "DerChirurg.80690082.eng.abstr-s6-t7",
"type": "umlsterm",
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"id": "DerChirurg.80690082.eng.abstr-s8-t2",
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"controls"
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"id": "DerChirurg.80690082.eng.abstr-s8-t3",
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"id": "DerChirurg.80690082.eng.abstr-s9-t1",
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"type": "umlsterm",
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"deformities"
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"stages"
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"type": "umlsterm",
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"db_id": "C0008466"
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]
}
] |
[] |
[] |
[
{
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"type": "affects",
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"arg2_id": "DerChirurg.80690082.eng.abstr-s11-t1",
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},
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{
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},
{
"id": "DerChirurg.80690082.eng.abstr-s4-r7-t3.2-t3.1",
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},
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{
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},
{
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},
{
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"arg2_id": "DerChirurg.80690082.eng.abstr-s11-t4",
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-r2-t1.1-t5.1",
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-r3-t4.1-t7.1",
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"arg2_id": "DerChirurg.80690082.eng.abstr-s11-t7",
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-r4-t6.1-t3.1",
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-r5-t7.1-t6.1",
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},
{
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},
{
"id": "DerChirurg.80690082.eng.abstr-s6-r7-t7.1-t5.1",
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},
{
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DerChirurg.80690091.eng.abstr
|
DerChirurg.80690091.eng.abstr
|
[
{
"id": "DerChirurg.80690091.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Arteriovenous fistulas of the portal system are rare . Congenital fistulas have to be differentiated from acquired fistulas ; the latter are of posttraumatic or iatrogenic origin . The case presented demonstrates a history of diffuse abdominal pain and the first description of myocardial ischemia caused by a posttraumatic splenic arterioportal fistula . After diagnostic and therapeutic difficulties , the definitive treatment consisted in resection of the fistula system including the pancreatic tail ."
],
"offsets": [
[
0,
505
]
]
}
] |
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],
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14,
22
]
],
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}
]
},
{
"id": "DerChirurg.80690091.eng.abstr-s1-t2",
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"Arteriovenous fistulas"
],
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0,
22
]
],
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},
{
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],
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]
],
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},
{
"id": "DerChirurg.80690091.eng.abstr-s2-t1",
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"Congenital"
],
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65
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],
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{
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},
{
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},
{
"id": "DerChirurg.80690091.eng.abstr-s3-t2",
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248
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}
]
},
{
"id": "DerChirurg.80690091.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"ischemia"
],
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289,
297
]
],
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},
{
"id": "DerChirurg.80690091.eng.abstr-s3-t4",
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},
{
"id": "DerChirurg.80690091.eng.abstr-s3-t5",
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],
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},
{
"id": "DerChirurg.80690091.eng.abstr-s3-t6",
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"text": [
"myocardial ischemia"
],
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DerChirurg.80690098.eng.abstr
|
DerChirurg.80690098.eng.abstr
|
[
{
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"text": [
"Angiomyolipomas are hamartomas that may be found sporadically or associated with tuberous sclerosis ( M. Bourneville-Pringle ) . Clinically , this long-term asymptomatic tumor becomes evident as an acute retroperitoneal hemorrhage or by symptoms of a flank mass . Due to the high percentage of fat components in this tumor type , computed tomography is far superior to other radiological procedures . In view of two of our own case reports , the therapeutic strategies are discussed , paying regard to the actual literature in this field ."
],
"offsets": [
[
0,
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]
]
}
] |
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[] |
[] |
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DerChirurg.80690102.eng.abstr
|
DerChirurg.80690102.eng.abstr
|
[
{
"id": "DerChirurg.80690102.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Traumatic injuries of arteries lead to acute bleeding or ischemia . In the hand , which is perfused by two arteries , this symptom could be missed . The hypothenar hammer syndrome is a traumatic occlusion of the distal arteria ulnaris . Dependent on the mechanism of the trauma the clinical symptoms may appear late . A specific angiographic or duplex sonographic diagnostic investigation is necessary to show the arterial occlusion . There is no proven therapeutic procedure . Exact diagnosis of the occlusion as an effect of the trauma is important for the patient and is the basis of any therapeutic intervention ."
],
"offsets": [
[
0,
617
]
]
}
] |
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[] |
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DerChirurg.80690105.eng.abstr
|
DerChirurg.80690105.eng.abstr
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"Zwickau Hospital in Saxony has been a famous center of surgery since the very beginning . It was built by Heinrich Braun , the founder of modern local anesthesia . His successors , Kulenkampff and Mayer , preserved , continued and completed his life's work . The surgery center in Zwickau provided very important ideas for general and local anesthesia , for building and managing hospital and for the science of surgery in words and illustrations ."
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[] |
[] |
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DerChirurg.80690141.eng.abstr
|
DerChirurg.80690141.eng.abstr
|
[
{
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"In over 80 % of patients with gastroesophageal reflux disease , the Nissen antireflux fundoplication gives good long-term results . Dysphagia , inability to belch or vomit as well as the gas bloat syndrome are possible sequelae after fundoplication . The frequency of these symptoms could be reduced by modification of the original Nissen-Rossetti fundoplication into the so-called \" floppy \" Nissen fundoplication , a short and loose wrap of mobilized gastric fundus . Failures of the antireflux procedure are mainly due to disruption or displacement of the wrap with the telescope phenomenon . Here , reoperation with refashioning of the original wrap may lead to same functional results like a primary fundoplication . Technical alternatives may selectively be chosen , when gastroesophageal reflux disease is complicated by fixated hiatal hernia , esophageal shortening , or serious esophageal motility disorders . Such specific anatomic or functional abnormalities are detected by preoperative endoscopy , barium swallow , 24-h pH monitoring , and manometry . Alternative techniques are mainly transthoracic repairs , including the Nissen fundoplication , Collis gastroplasty , and the Belsey Mark IV . Modifications of the 360 ° Nissen operation are partial fundoplications like the Hill repair and the Toupet dorsal fundoplication . Because of a high failure rate in the long-term follow-up , application of the ligamentum teres cardiopexy and of the Angelchik prosthesis is not recommended ."
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DerChirurg.80690148.eng.abstr
|
DerChirurg.80690148.eng.abstr
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[] |
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}
] |
DerChirurg.80690158.eng.abstr
|
DerChirurg.80690158.eng.abstr
|
[
{
"id": "DerChirurg.80690158.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A new endoscopic intraluminal valvuloplasty is described . The procedure provides a simple , easy outpatient approach for antireflux surgery and is applicable to patients with early gastroesophageal reflux disease as an alternative to chronic life-long medical therapy . The feasibility , durability and efficacy of the procedure in baboons are reported ."
],
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[
0,
355
]
]
}
] |
[
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"procedure"
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63,
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]
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{
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{
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320,
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]
},
{
"id": "DerChirurg.80690158.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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333,
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{
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] |
[] |
[] |
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},
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},
{
"id": "DerChirurg.80690158.eng.abstr-s2-r14-t6.1-t8.1",
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{
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},
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},
{
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},
{
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{
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},
{
"id": "DerChirurg.80690158.eng.abstr-s2-r23-t3.2-t1.2",
"type": "uses",
"arg1_id": "DerChirurg.80690158.eng.abstr-s2-t3",
"arg2_id": "DerChirurg.80690158.eng.abstr-s3-t1",
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},
{
"id": "DerChirurg.80690158.eng.abstr-s2-r24-t6.1-t3.1",
"type": "issue_in",
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"arg2_id": "DerChirurg.80690158.eng.abstr-s2-t3",
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}
] |
DerChirurg.80690168.eng.abstr
|
DerChirurg.80690168.eng.abstr
|
[
{
"id": "DerChirurg.80690168.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The high rate of recurrence after the treatment of adhesive obstruction demands special prophylactic treatment . In a 13-year period , 52 out of 95 patients with major adhesions were provided with a long nasointestinal tube for intestinal splinting intraoperatively . The was being left in situ on an average of 6.6 days . After an observation period of at least 36 months a recurrence was seen in 2 of these 52 patients ( 3.9 % ; causes : volvulus after 6 months/fibrinous peritonitis on the 6th postoperative day ) . Amongst the 43 ' non-splinted' patients , recurrence of adhesive obstruction was documented in 8 cases ( 18.6 % ; causes : adhesions after 0.3-136.9 months ) . In the course of aftercare abdominal complaints were significantly fewer in patients who had been splinted . Complications concerning the nasointestinal tubes did not occur . The rate of perioperative complications was similar in both groups ."
],
"offsets": [
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0,
922
]
]
}
] |
[
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},
{
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[] |
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DerChirurg.80690174.eng.abstr
|
DerChirurg.80690174.eng.abstr
|
[
{
"id": "DerChirurg.80690174.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Right colon diverticulitis , representing 1-3 , 6 % of cases of diverticular disease is an uncommon cause of right lower quadrant pain . Its presentation is difficult to distinguish from acute appendicitis . Patients are between 35 and 50 years old , have a history of 2-3 days of abdominal pain and few gastrointestinal symptoms . The diagnosis is best confirmed by computed tomography and colonoscopy . Conservative treatment is justified in uncomplicated disease , whereas perforations , abcesses and inflammatory tumors require resection . We describe the cases of six patients treated at our institution from 1991 to 1996. Presentation , geographic variations , diagnostic procedures and management are discussed ."
],
"offsets": [
[
0,
719
]
]
}
] |
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[] |
[] |
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DerChirurg.80690186.eng.abstr
|
DerChirurg.80690186.eng.abstr
|
[
{
"id": "DerChirurg.80690186.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The prognostic significance of e-cadherin in papillary thyroid carcinoma was evaluated in a retrospective study . From September 1985 to December 1996 , 113 patients underwent surgery for papillary thyroid carcinoma . Seventy-eight formalin-fixed , paraffin-embedded tissue samples were available for immunohistochemical analysis of e-cadherin expression . In 74 of these 78 patients the postoperative course is known for 2 months to 35.2 years ( median 3.6 years , mean : 4.9 +/- 4.8 years ) . Reduced or negative e-cadherin expression ( = 20 % ) was associated with advanced T categories of the primary tumours and higher rates of synchronous lymph node involvement and distant metastasis . During follow-up in this group of patients locoregional tumour recurrence occurred more frequently and survival was shorter than in patients with tumours which exhibited e-cadherin expression of > 20 % . Statistical analysis revealed e-cadherin expression ( = 20 %/ > 20 % ) , synchronous distant metastasis ( M0/pM1, cM1) and radicality of resection ( R0/R1, 2 ) as significant risk factors for survival . Our findings provide evidence that e-cadherin is a prognostic factor in papillary thyroid carcinoma ."
],
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[
0,
1201
]
]
}
] |
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DerChirurg.80690191.eng.abstr
|
DerChirurg.80690191.eng.abstr
|
[
{
"id": "DerChirurg.80690191.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Age , high physiological load and the great number and different fracture types of the proximal femur are the main challanges for implants used in the management of these fractures . For use in these types of fracture with immediate restoration of full weight-bearing capacity and for reduction of the intra- and postoperative complication rate , the gliding nail was developed . The development is based on a large number of experimental and clinical examinations of per- and subtrochanteric fractures . The advantages of an intramedullary implant and the gliding screw systems are combined with increased moment of resistance of the double-T femor-neck blade profile . We performed a prospective clinical evaluation of the first 186 patients with per- and subtrochanteric fractures who were treated between 15 September 1994 and 29 February 1996 in the Aschaffenburg Trauma Department with a follow-up examination at least 3 months after the operation . The intraoperative complication rate was 1.1 % . The postoperative complication rate was 4.9 % . Change of the blade because of fracture impaction and tractus iliotibialis problems was the most frequent problem with 2.2 % . The most severe complication ( 1.1 % ) were caused by subchondral placement of the blade in the cranial one-third of the femur head . In these cases reosteosynthesis was indicated . Ninety-three percent of the survivors were able to return home . The rate of bed-ridden patients ( 7.7 % and 11.7 % ) was not very different before or after the operation . However , many patients do not reach the condition they had before the fracture and they are one step worse in mobility and social independence ."
],
"offsets": [
[
0,
1680
]
]
}
] |
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{
"id": "DerChirurg.80690191.eng.abstr-s1-t2",
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DerChirurg.80690198.eng.abstr
|
DerChirurg.80690198.eng.abstr
|
[
{
"id": "DerChirurg.80690198.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report four patients who developed heparin-associated thrombocytopenia ( HAT ) under heparin prophylaxis . One patient showed no clinical signs , but three had severe complications ( white-clot syndrome , acute adrenal failure and loss of limb because of thromboembolic complication ) , leading to death in two cases ."
],
"offsets": [
[
0,
321
]
]
}
] |
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"patients"
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23
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{
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{
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121
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},
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"signs"
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141,
146
]
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{
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{
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186,
196
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},
{
"id": "DerChirurg.80690198.eng.abstr-s2-t6",
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"id": "DerChirurg.80690198.eng.abstr-s2-t9",
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},
{
"id": "DerChirurg.80690198.eng.abstr-s2-t10",
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229
]
],
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{
"db_name": "UMLS",
"db_id": "C0001623"
}
]
}
] |
[] |
[] |
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DerChirurg.80690204.eng.abstr
|
DerChirurg.80690204.eng.abstr
|
[
{
"id": "DerChirurg.80690204.eng.abstr-passage-0",
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"text": [
"In the course of an infection with human immunodeficiency virus , a large variety of complications affecting all organ systems can occur . However , complications affecting the vascular system demanding surgical intervention are rare . In the case presented we report a 67-year-old HIV-seropositive patient who underwent surgery for a huge abscess in the thigh . Intraoperatively unexpectedly we found a mycotic aneurysm of the femoral superficial artery and the causactive bacterium proved to be Salmonella enteritidis . Because of the rising number of HIV-infected patients we suspect that the amount of complications involving the vascular system and demanding surgical intervention will also increase . Therefore , when diagnosing and deciding on therapy for patients with AIDS , the physician must be awaren that vascular complications due as a result of HIV infection might occur more frequently in the future ."
],
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[
0,
917
]
]
}
] |
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[] |
[] |
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"id": "DerChirurg.80690204.eng.abstr-s6-r45-t7.1-t3.1",
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},
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"id": "DerChirurg.80690204.eng.abstr-s6-r46-t7.1-t1.1",
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}
] |
DerChirurg.80690212.eng.abstr
|
DerChirurg.80690212.eng.abstr
|
[
{
"id": "DerChirurg.80690212.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Methods : In a 300-bed acute-care hospital we compared optical instruments employed , for orthopedic , urological and gynecological operations during their use in practice . The comparison between 33 ethylene oxide ( EO ) -sterilized optical instruments and 14 steam-sterilized optical instruments took into account the following criteria : frequency of use ; availability ; sterilization cycles ; kind , cost and number of repairs . Results : The 33 EO-sterilized optical instruments were handled 1043 times and were repaired 10 times ( at a cost of up to 2000 SFR ) . The 14 steam-sterilized optical instruments were treated 1101 times and were repaired 8 times ( 2000 SFR ) . The total costs were 77 000 SFR for the 14 steam-sterilized instruments and 132 000 SFR for the 33 EO-sterilized instruments . Interpretation : Steam-sterilization is a reasonable , safe and fast method of sterilizing optical instruments . We prefer this method , given its advantages ( less toxicity , personal care and pollution control ) ."
],
"offsets": [
[
0,
1021
]
]
}
] |
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"orthopedic"
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}
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},
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"id": "DerChirurg.80690212.eng.abstr-s2-t1",
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"ethylene"
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"id": "DerChirurg.80690212.eng.abstr-s2-t2",
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"oxide"
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"id": "DerChirurg.80690212.eng.abstr-s2-t3",
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"instruments"
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"id": "DerChirurg.80690212.eng.abstr-s2-t8",
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}
] |
[] |
[] |
[
{
"id": "DerChirurg.80690212.eng.abstr-s1-r2-t5.1-t3.1",
"type": "uses",
"arg1_id": "DerChirurg.80690212.eng.abstr-s7-t5",
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},
{
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},
{
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DerChirurg.80690215.eng.abstr
|
DerChirurg.80690215.eng.abstr
|
[
{
"id": "DerChirurg.80690215.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A survey among coloproctologists was performed to assess current therapeutic concepts for the treatment of hemorrhoidal disease and anal fissure . A total of 261 clinical and non-clinical proctologists participated , representing the entire range of therapies in hospital and practise . A wealth of widely differing , in some aspects contradictory concepts were recorded , leaving almost no subject entirely undisputed . There are controversies regarding the different therapeutic alternatives as well as indications for surgery and choice of operative procedure . Future research has to address the existing controversies in order to reach a higher degree of standardization in the therapy of these common proctological disorders ."
],
"offsets": [
[
0,
732
]
]
}
] |
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[] |
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DerChirurg.80690234.eng.abstr
|
DerChirurg.80690234.eng.abstr
|
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"id": "DerChirurg.80690234.eng.abstr-passage-0",
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"Gastritis caused by infection with Helicobacter pylori is one of the most common infectious diseases worldwide . There are data on the epidemiology , pathophysiology and histology of this disease that show that Helicobacter pylori gastritis plays an important role in gastric carcinogenesis . However , we must remember that only a very few among those infected with Helicobacter pylori will develop gastric cancer . Hence , one of the main targets of future research will be to identify individuals who carry a greater risk for developing gastric cancer and may therefore benefit from eradication of Helicobacter pylori in terms of gastric cancer prevention ."
],
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]
]
}
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DerChirurg.80690239.eng.abstr
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DerChirurg.80690239.eng.abstr
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"Our understanding of ulcer pathogenesis has dramatically changed since the discovery of Heliobacter pylori . Peptic ulcer is now recognized as a chronic gastric infectious disease . H. pylori can be considered the pacemaker , with other known risk factors ultimately contributing to the ulcer formation . Treatment of H. pylori in peptic ulcer disease cures the acute lesion and prevents relapse and complications . In clinical management a positive diagnosis of H. pylori is required and other potential causes for ulcer formation must be excluded before starting treatment . The standard treatment in H. pylori positive ulcer consists of PPI in standard dose and two antibiotics either clarithromycin 2 x 500 mg and amoxycillin 2 x 1 g or metronidazole 2 x 400 mg and clarithromycin 2 x 250 mg ( or 500 mg ) for 7 days . The simultaneous presence of H. pylori and NSAID intake requires distinct management . Following bleeding complication a PPI needs to be given beyond 7 days until ulcer healing is endoscopically confirmed ."
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[] |
[] |
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DerChirurg.80690252.eng.abstr
|
DerChirurg.80690252.eng.abstr
|
[
{
"id": "DerChirurg.80690252.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The present study investigates patients ' expectations toward radiotherapy and their associations to quality of life and physician judgements . Fifty-five patients with tumors of different sites ( 30 with previous tumor-related surgery , 25 without surgery ) admitted to the department of radiotherapy filled out a standardized questionnaire ( EORTC QLQ-C30, PLC by Siegrist et al. , therapy-related expectations and success ) before and after inpatient radiotherapy . The corresponding physician ratings were collected . Fifty-eight percent of the patients expected the therapeutic goal \" healing \" , whereas from the physician's standpoint this was realistic in only 7 % of cases . The specific radiotherapy-related expectations \" tumor control \" and \" pain relief \" reached almost the same levels in patients and physician ( 71 % vs 71 % and 40 % vs 44 % ) . Patients with healing expectancy reported higher quality of life at the beginning of the therapy ( 53.4 % vs 39.9 % ) ; patients expecting pain relief reported lower quality of life ( 37.1 % vs 54.5 % ) . Surgical patients who had been operated on within the past year ( n = 18 ) showed a particularly high healing expectancy ( 83 % ) , whereas patients whose operation dated back more than 1 year focused on pain relief as therapeutic goal ( 83 % ) . The surgeon , as the primary contact person for patients , can influence patients ' therapy-related expectations . In explaining the overall therapeutic strategy , surgeons should also mention the scope and limits of adjuvant therapies ."
],
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0,
1551
]
]
}
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[] |
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] |
DerChirurg.80690259.eng.abstr
|
DerChirurg.80690259.eng.abstr
|
[
{
"id": "DerChirurg.80690259.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : The therapy for early gastric cancer ( endoscopy , gastric resection , D1/2 dissection ) is controversial . Materials and methods : In a retrospective study ( 4/ 86 -12/ 95 ) we analyzed the prognosis of 57 early gastric cancer patients with respect to pathological findings and surgical therapy . Results : The R0 resection rate was 100 % . In 7 % multifocal tumor growth was seen . The 5-year survival rate was 70 % . LN-metastases were found in 12 % of all cases , more often in pT1 b than in pT1 a tumors ( 17 vs 9 % ) and more often in large carcinomas than in small carcinomas ( > 1000 mm2: 27 % ; 300 mm2: 0 % ) . Long-term survival was significantly better in pN0 patients than in patients with LN metastasis ( P = 0.020 ) . Conclusion : Prognosis of early gastric cancer after curative resection is good ."
],
"offsets": [
[
0,
827
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.80690265.eng.abstr
|
DerChirurg.80690265.eng.abstr
|
[
{
"id": "DerChirurg.80690265.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Cases of gallstone ileus ( 108 ) were analyzed retrospectively over 30 years . Even today , when laparoscopic cholecystectomy is done , the incidence of this rare disease remains the same . History , clinical and X-ray findings are non-specific . Aerobilia was seen in 17 % of the patients . Since 1992 sonography has proveded an exact diagnosis in 10 of 15 cases . In the triad of known gallstone , non-specific epigastric pain with assumed small intestinal obstruction , and impossible detection of a stone in the gallbladder , there is strong suspicion of a gallstone ileus . The evidence is given if the gallstone is seen in the bowels . Intraoperatively more than one stone was found in the intestines in 20 % , and cholecystoduodenal fistulas were encountered in 83 % . Other fistulas are rare . There has been no significant change in mortality for 30 years ."
],
"offsets": [
[
0,
866
]
]
}
] |
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[] |
[] |
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DerChirurg.80690270.eng.abstr
|
DerChirurg.80690270.eng.abstr
|
[
{
"id": "DerChirurg.80690270.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During a 4-year period we treated four patients with gallstone ileus by enterotomy and extraction of the impacted concrement . Diagnosis was quickly established by abdominal ultrasound examination in all cases . Lacking visibility of the gallbladder in the clinical setting of ileus and subileus proved to be a sonographic clue of gallstone ileus and prompted a thorough search for the obturating gallstone which could definitely be demonstrated as an intraluminal semicircular reflex with strong echos and a sonic shadow in all patients . Thus , due to early diagnosis and timely surgical intervention , even in the absence of full-blown ileus , all of our elderly patients and those with a multitude of diseases still had a favorable outcome ."
],
"offsets": [
[
0,
745
]
]
}
] |
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{
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16,
22
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"id": "DerChirurg.80690270.eng.abstr-s1-t3",
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"id": "DerChirurg.80690270.eng.abstr-s1-t4",
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"ileus"
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"ultrasound"
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{
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}
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"id": "DerChirurg.80690270.eng.abstr-s3-t2",
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{
"id": "DerChirurg.80690270.eng.abstr-s3-t3",
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"subileus"
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287,
295
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},
{
"id": "DerChirurg.80690270.eng.abstr-s3-t4",
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"gallstone"
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"id": "DerChirurg.80690270.eng.abstr-s4-t6",
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}
]
}
] |
[] |
[] |
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DerChirurg.80690274.eng.abstr
|
DerChirurg.80690274.eng.abstr
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[
{
"id": "DerChirurg.80690274.eng.abstr-passage-0",
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"The therapy of factitious disorders is a challenge for the treating surgeon . Only a clear understanding of the underlying causes and a good doctor-patient relationship make a successful outcome possible . Discussion about a confrontation of the patient with the diagnosis and the best made of treatment is still in progress . Early diagnosis and the cooperation between surgeons and psychiatrists are the most important parts of dealing with factitious disorders . This article gives an overview of symptoms and therapies . Six case reports demonstrate possibilities of the disorder's appearance ."
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598
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[] |
[] |
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DerChirurg.80690284.eng.abstr
|
DerChirurg.80690284.eng.abstr
|
[
{
"id": "DerChirurg.80690284.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Because this disease is so rare the optimum treatment of pigmented villonodular synovitis ( PVNS ) , in particular the diffuse form differs in the literature . The most important surgical procedures are arthroscopic and open synovectomy . The prevention of disease progression , as well as joint destruction and dysfunction , depends upon the early diagnosis of PVNS . During 1994 and 1995 , we treated four cases of PVNS surgically and followed the patients for a time period of more than 12 months . Two patients were treated with complete synovectomy , one patient underwent partial synovial resection , and in the final case an arthrodesis was performed . Our results indicate that an MRI is essential for diagnosis and treatment planning . For the localized form of PVNS , it appears that a partial synovectomy is appropriate . However , in the event of diagnostic uncertainty or obvious diffuse involvement of the synovium , a total synovectomy is indicated because of the high recurrence rate . In our study , all four patients had disease involving secondary bony lesions and , in one case , joint destruction . Based on our findings , it is clear that early surgical therapy is the only recommended curative intervention . The decision regarding the surgical approach , arthroscopic versus open , depends on the form of PVNS , the extent of the disease and secondary changes of the joint ."
],
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0,
1398
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}
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DerChirurg.80690291.eng.abstr
|
DerChirurg.80690291.eng.abstr
|
[
{
"id": "DerChirurg.80690291.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The experience worldwide with pancreas transplantation includes more than 9000 cases . In the most popular patient group ( simultaneous pancreas-kidney transplantation , SPK ) the graft-function rate at 1 year now reaches more than 80 % . More than 90 % of all pancreas transplants were performed using the bladder-drainage technique ( BD ) with systemic venous anastomosis . Late problems with the BD require enteric conversion in 10-20 % in the long term . In the present study we report the results of 40 SPK using the BD ( n = 20 ) and enteric drainage ( ED ) techniques ( n = 20 ) . After 3 months , the patients pancreas and kidney survival rates in the BD group were 100 , 95 and 100 % and in the ED group 100 , 100 and 100 % , respectively . No anastomosis leakage occurred in either group . In two cases of the ED group the pancreas grafts were drained portal venously via the superior mesenteric vein without surgical complications . With growing experience , excellent SPK results can be reached with both the BD and ED techniques ."
],
"offsets": [
[
0,
1043
]
]
}
] |
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[] |
[] |
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DerChirurg.80690298.eng.abstr
|
DerChirurg.80690298.eng.abstr
|
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"id": "DerChirurg.80690298.eng.abstr-passage-0",
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"text": [
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],
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]
}
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[] |
[] |
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DerChirurg.80690306.eng.abstr
|
DerChirurg.80690306.eng.abstr
|
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],
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0,
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"id": "DerChirurg.80690306.eng.abstr-s1-t8",
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"id": "DerChirurg.80690306.eng.abstr-s2-t2",
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DerChirurg.80690325.eng.abstr
|
DerChirurg.80690325.eng.abstr
|
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DerChirurg.80690333.eng.abstr
|
DerChirurg.80690333.eng.abstr
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DerChirurg.80690339.eng.abstr
|
DerChirurg.80690339.eng.abstr
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"In the past two decades increasing research efforts have focused on the molecular biology of the cell . In the beginning , these research activities were purely academic without any direct clinical relation . A series of important discoveries , initiated particularly by the unravelling of the genetic code and the discovery of the molecular basis of gene expression and genetics , the subsequent identification of oncogenes and tumor suppressor genes and finally the description of major mechanisms which induce genetic instability in cells , now indicate the way to many new diagnostic and therapeutic strategies . In surgical oncology , these attempts are yielding the first clinical consequences . Basic aspects of molecular cell biology as far as they are relevant for surgical oncologists are discussed ."
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] |
DerChirurg.80690349.eng.abstr
|
DerChirurg.80690349.eng.abstr
|
[
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"text": [
"Adjuvant and neoadjuvant therapeutic principles have in recent years received increasing attention in the management of patients with carcinoma of the upper gastrointestinal tract . A series of randomized prospective trials has demonstrated that adjuvant postoperative radiation or chemotherapy does not result in a convincing survival advantage after complete tumor resection in gastric or esophageal cancer . The available data on the role of neoadjuvant preoperative therapy in these patients as yet permit no conclusion . While neoadjuvant therapy may reduce the tumor mass in a substantial portion of patients , a series of randomized controlled trials has shown that , compared to primary resection , a multimodal approach does not result in a survival benefit in patients with loco-regional , i . e . potentially resectable , tumors . In contrast , in patients with locally advanced tumors , i . e . tumors for which complete removal with primary surgery appears unlikely , neoadjuvant therapy increases the chance for complete tumor resection on subsequent surgery . However , only patients with objective histopathologic response to preoperative therapy appear to benefit from this approach . Compared to preoperative chemotherapy alone , combined radio-chemotherapy increases the rate of response , particularly in squamous cell esophageal cancer , but may also increase postoperative morbidity and mortality . Neoadjuvant therapy should therefore currently only be performed in experienced centers within the context of prospective clinical trials . The identification of factors that would allow prediction of response to neoadjuvant or adjuvant therapy is the focus of ongoing studies ."
],
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[] |
[] |
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] |
DerChirurg.80690360.eng.abstr
|
DerChirurg.80690360.eng.abstr
|
[
{
"id": "DerChirurg.80690360.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hepatocellular carcinoma ( HCC ) is being diagnosed with increasing frequency in the Western world as a consequence of the hepatitis C epidemia . Multimodal therapy is now the only effective treatment option to offer a chance of complete tumor control in HCC . Liver transplantation and liver resection , including the selection criteria and patient evaluation , are discussed . The benefits and complications of transarterial chemoembolization and cryotherapy are also reviewed . Liver transplantation is now thought to offer the best treatment option in early HCC and should be regarded as the first line of treatment in selected patients ."
],
"offsets": [
[
0,
642
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.80690371.eng.abstr
|
DerChirurg.80690371.eng.abstr
|
[
{
"id": "DerChirurg.80690371.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A large variety of immunological and cytotoxic adjuvant treatment concepts and application routes have been observed to be effective in colon cancer by randomized trials during the past three decades . Presently adjuvant 5-fluorouracil based chemotherapy is favoured for patients with lymph node metastases ( UICC stage III ) , since this treatment was associated with a 5-10 % increase in 5-year survival . Uncertainty persists regarding the optimal use of adjuvant treatment , since marked differences in prognosis have been recognized within stage III and because the impact of surgical treatment on long-term survival has not been thoroughly controlled for in past trials . Current and future studies will have to determine precisely which patients will benefit most from adjuvant treatment and which combination of surgical and adjuvant treatment will be most effective ."
],
"offsets": [
[
0,
876
]
]
}
] |
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DerChirurg.80690384.eng.abstr
|
DerChirurg.80690384.eng.abstr
|
[
{
"id": "DerChirurg.80690384.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Multimodal therapy for rectal carcinoma is - in contrast to colon cancer - largely based on adjuvant or neoadjuvant radiotherapy . Although radiotherapy reduces local recurrence rates , overall survival is hardly improved , while on the other hand specific complications of radiotherapy are recognized . Extended neoadjuvant treatment concepts including chemotherapy may improve long-term outcome , but to date this has not been demonstrated conclusively by randomized trials . New developments include intraoperative radiotherapy and the combination of hyperthermia with radiochemotherapy . Initial results from randomized studies are promising , but require confirmation by larger trials . At the same time the importance of optimal surgical treatment has been recognized as a prerequisite for favourable long-term results . Since this aspect has not received due attention in past protocols the optimal combination of surgery with other modalities and their time sequence cannot be determined presently ."
],
"offsets": [
[
0,
1007
]
]
}
] |
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DerChirurg.80690404.eng.abstr
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DerChirurg.80690404.eng.abstr
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{
"id": "DerChirurg.80690404.eng.abstr-passage-0",
"type": "abstract",
"text": [
"While the different national health systems merge structurally , cost expansion in health care is a global challenge . Structural reforms have been developed during recent years in the USA which can be summarized as \" managed care \" . They are characterized by the evolution of an economically orientated system , in which units of medical therapy are generally handled like conventional economical goods . In managed-care models , patients are deliberately directed to the most economic forms of therapy . The spectrum of medical interventions as well as diagnostic or therapeutic patterns are predefined by a system of contracted guidelines , which lead to a standardization of processes . Financing and medical executive responsibilities fuse . The autonomy of medical decisions is clearly reduced to enforce an integrated and economically oriented steering of the health system . Leadership is no longer primarily confined to doctors or scientists . It is progressively shifting to financing institutions , managing directors or insurance companies . Structural changes currently are expanding rapidly in the U. S. and have meanwhile led to marked regional reductions of medical costs . Nevertheless , the US model is still far more expensive compared to the German system . Historical development , current concepts of US-managed care , its potential influence and general applicability to the German situation are discussed in an overview ."
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[] |
[] |
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DerChirurg.80690412.eng.abstr
|
DerChirurg.80690412.eng.abstr
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"id": "DerChirurg.80690412.eng.abstr-passage-0",
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"text": [
"Any operation for lung cancer that is planned as curative includes dissection of the lymph nodes in the mediastinum in order to allow correct staging of the disease . It is well known that ipsilateral lymph node metastases ( N2) mean a poor prognosis . Since most patients with this finding die from metastatic tumor progression within 3 years after the operation , it can be assumed that positive findings in the mediastinal lymph nodes represent generalization of the cancer . Therefore , the probability of a therapeutic effect from more radical removal of lymph nodes in the mediastinum is rather low . On the other hand , it is justified to apply and evaluate additional systemic treatment in these tumor stages ."
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] |
DerChirurg.80690418.eng.abstr
|
DerChirurg.80690418.eng.abstr
|
[
{
"id": "DerChirurg.80690418.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Percutaneous dilatational tracheostomy ( PT ) and translaryngeal tracheostomy ( TLT ) are relatively new minimally invasive methods for critically ill patients . To compare the perioperative procedural safety we analyzed the severity of perioperative blood gas changes in a prospective randomized clinical study in 50 patients ( 34 men , 16 women ; age 18-84 years ) . Additionally , early complications were documented . Twenty-five PTs and 25 TLTs were performed under tracheoscopic guidance . Perioperative hypoxia did not occur in either group ; however , a decrease of PaO2 of more than 50 mm Hg was noticed in nine patients during TLT versus three patients with PT ( P = 0.051 ) . The mean increase of PaCO2 was significantly higher in the TLT-group ( 5.2 +/- 6.7 vs 11.6 +/- 8.4 mm Hg ; P 0.01 ) . In the PT group no perioperative complications arose ; in the TLT group one procedure was not successful and had to be converted to a PT . Postoperatively , one premature decannulation ( PT group ) and one bleeding ( TLT group ) were noticed . PT and TLT are safe methods . Early complications are rare in experienced hands . TLT tends to cause relevant hypercarbia and should therefore be restricted to patients without special risks ."
],
"offsets": [
[
0,
1241
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.80690423.eng.abstr
|
DerChirurg.80690423.eng.abstr
|
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"Performing prospective , randomized controlled studies in patients with severe acute pancreatitis is limited due to low disease incidence and organizational and financial problems . Thus , animal models simulating the clinical condition have been developed for testing innovative therapeutic procedures . Despite objections regarding the applicability of data obtained from animal experiments to clinical practice , the experience gained from these studies could not only be used in clinical study proposals but also , in part , directly influenced the clinical management of acute pancreatitis . This is illustrated by studies regarding the influence of contrast medium , isovolemic hemodilution and various antibiotics ."
],
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0,
722
]
]
}
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[] |
[] |
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DerChirurg.80690432.eng.abstr
|
DerChirurg.80690432.eng.abstr
|
[
{
"id": "DerChirurg.80690432.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The quality of the surgical therapy in cases of acute appendicitis is influenced by the rate of perforating appendicitis , the rate of bland appendicitis and the perioperative morbidity . During a prospective follow-up 271 patients were treated at our department between 1 April 1993 and 30 July 1996. The rate of perforating appendicitis was 3.7 % , and that of bland appendicitis was 19.6 % . The rate of perforating appendicitis did not differ significantly according surgeon , who decided to operate . However , the number of patients with bland appendicitis did differ significantly among different operators . There were also significant differences in the rate of wound infections . No correlation was found between the rates of perforating and bland appendicitis was not found . In summary the operator affects the quality of the surgical treatment in cases of suspected appendicitis by differences in the timing and performance of the surgical procedure ."
],
"offsets": [
[
0,
964
]
]
}
] |
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[] |
[] |
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] |
DerChirurg.80690438.eng.abstr
|
DerChirurg.80690438.eng.abstr
|
[
{
"id": "DerChirurg.80690438.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Transabdominal ultrasound in the hydrotechnique ( hydrosonography ) was compared with endosonography for the locoregional staging of gastric cancer . For this purpose 52 consecutive patients were examined by endosonography ( 7.5 and 12 MHz ) and hydrosonography ( 3.75 MHz ) . Forty-nine of the 52 tumors could be examined by endosonography and 41 by hydrosonography . The T-staging accuracy rate of endosonography was 74 % and 46 % for hydrosonography . Carcinoma of the cardia are often classified as uT3 and hT3 preoperatively and pT2 postoperatively due to infiltration of the subserosal fat . The N-staging accuracy rate of endosonography was 86 % and 61 % for hydrosonography . Based on these results , transabdominal ultrasound in the hydrotechnique ( hydrosonography ) cannot replace endosonography in gastric cancer staging . However , when performed in conjunction with conventional ultrasound , hydrosonography provides useful information about the local tumor stage , especially in cases of advanced and stenotic tumors ."
],
"offsets": [
[
0,
1033
]
]
}
] |
[
{
"id": "DerChirurg.80690438.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"ultrasound"
],
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[
15,
25
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220934"
},
{
"db_name": "UMLS",
"db_id": "C0041618"
},
{
"db_name": "UMLS",
"db_id": "C0041621"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hydrotechnique"
],
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[
33,
47
]
],
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{
"db_name": "UMLS",
"db_id": "C0020239"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"hydrotechnique"
],
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[
33,
47
]
],
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{
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"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"endosonography"
],
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[
86,
100
]
],
"normalized": [
{
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"db_id": "C0376444"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"cancer"
],
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[
141,
147
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0006826"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"gastric cancer"
],
"offsets": [
[
133,
147
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0024623"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
182,
190
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"endosonography"
],
"offsets": [
[
208,
222
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0376444"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"tumors"
],
"offsets": [
[
298,
304
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027651"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"endosonography"
],
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[
326,
340
]
],
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{
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"db_id": "C0376444"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"endosonography"
],
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[
400,
414
]
],
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{
"db_name": "UMLS",
"db_id": "C0376444"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"Carcinoma"
],
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[
455,
464
]
],
"normalized": [
{
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"db_id": "C0007097"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"cardia"
],
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[
472,
478
]
],
"normalized": [
{
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"db_id": "C0007144"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"fat"
],
"offsets": [
[
592,
595
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015677"
}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s6-t1",
"type": "umlsterm",
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"endosonography"
],
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629,
643
]
],
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}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"ultrasound"
],
"offsets": [
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724,
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]
],
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},
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},
{
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]
},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"hydrotechnique"
],
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],
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}
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},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t3",
"type": "umlsterm",
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],
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],
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},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t5",
"type": "umlsterm",
"text": [
"cancer"
],
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818,
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}
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},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t6",
"type": "umlsterm",
"text": [
"gastric cancer"
],
"offsets": [
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810,
824
]
],
"normalized": [
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}
]
},
{
"id": "DerChirurg.80690438.eng.abstr-s7-t7",
"type": "umlsterm",
"text": [
"cancer staging"
],
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818,
832
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}
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},
{
"id": "DerChirurg.80690438.eng.abstr-s8-t1",
"type": "umlsterm",
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},
{
"id": "DerChirurg.80690438.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"tumor"
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"type": "umlsterm",
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"id": "DerChirurg.80690438.eng.abstr-s8-t4",
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]
],
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{
"db_name": "UMLS",
"db_id": "C0027651"
}
]
}
] |
[] |
[] |
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DerChirurg.80690443.eng.abstr
|
DerChirurg.80690443.eng.abstr
|
[
{
"id": "DerChirurg.80690443.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Morbidity and mortality after emergency procedures in 105 patients with perforated colonic diverticulitis were evaluated in a retrospective study . In different stages of diverticulitis ( Hinchey classification : I , 8.6 % ; II , 14.3 % ; III , 57.1 % ; IV , 20.0 % ) mortality was 12.4 % . Preoperative sepsis syndrome with leucopenia and disturbed liver function , cardiac risk factors and obesity were independent prognostic factors in multiple logistic regression . Accompanied by immunosuppression the mortality rate remarkably increased to 33 % . The stage of peritonitis showed no influence on the prognosis . In multivariate analysis , surgical procedure ( primary resection 12.4 % , Hartmann's procedure 61.9 % , non-resection procedures 25.7 % ) showed influence only on increased general complications ."
],
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[] |
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DerChirurg.80690455.eng.abstr
|
DerChirurg.80690455.eng.abstr
|
[
{
"id": "DerChirurg.80690455.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Chronic constipation can be divided in two large groups : slow-transit constipation , caused by pathological intestinal transit , and obstructive defecation disorder , caused by pelvic and rectal wall abnormalities . Videodefecography and defecoflowmetry are methods used to study dynamic evacuation of the rectum . Videodefecography also enables visual estimation of rectal evacuation . Defecoflowmetry allows analysis of anal and rectal pressures . Within this prospective study we utilized and compared these methods in 19 patients with slow transit and 30 patients with obstructive disease . In patients with slow transit , both investigations demonstrated a significantly higher defecation rate than in obstructive defecation disorder ( slow transit : defecoflowmetry 65 % , videodefecography 80 % ; obstructive defecation disorder : 50 % and 58 % ) . The evacuation time was pathologically prolonged in both types of constipation , with a range of 43-55 s. Rectoceles are demonstrated in 94 % of cases with slow transit and in 72 % with obstructive defecation disorder . Also , we often found obstructive components in slow-transit constipation patients . Normal defecography or defecoflowmetry can rule out obstructive defecation disorder . We conclude that videodefecography and defecoflowmetry are important items in the complex diagnostic regimen needed in evaluation of chronic constipation ."
],
"offsets": [
[
0,
1403
]
]
}
] |
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] |
DerChirurg.80690467.eng.abstr
|
DerChirurg.80690467.eng.abstr
|
[
{
"id": "DerChirurg.80690467.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a patient with recurrent ulcer disease under medication , which was complicated by episodes of bleeding , a laparoscopic partial gastric resection with intracorporal Roux-en-Y anastomosis was performed . The operation was completed within 3 h with blood loss 10 ml . The postoperative hospital stay of 6 days was uncomplicated as was the further follow-up ( 2 months so far ) . This operation and the study of results published in the literature showed us that a gastric resection can certainly be performed laparoscopically in the appropriate patient ."
],
"offsets": [
[
0,
556
]
]
}
] |
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{
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],
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"id": "DerChirurg.80690467.eng.abstr-s2-t3",
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}
] |
[] |
[] |
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},
{
"id": "DerChirurg.80690467.eng.abstr-s1-r18-t3.1-t2.1",
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},
{
"id": "DerChirurg.80690467.eng.abstr-s1-r19-t6.1-t4.1",
"type": "uses",
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},
{
"id": "DerChirurg.80690467.eng.abstr-s1-r20-t5.1-t1.1",
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},
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},
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},
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},
{
"id": "DerChirurg.80690467.eng.abstr-s4-r2-t1.1-t3.1",
"type": "affects",
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},
{
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}
] |
DerChirurg.80690471.eng.abstr
|
DerChirurg.80690471.eng.abstr
|
[
{
"id": "DerChirurg.80690471.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Esophageal intramural pseudodiverticulosis is a very rare disease with unknown etiology , which especially affects male patients between 45 and 65 years . This disease is characterized by dilatation of the esophageal submucosal glands and their outlets . Stenosis caused by esophagitis due to intramural pseudodiverticulosis is found in most of the known patients . All patients presented with dysphagia , usually of long duration . The characteristic radiographic appearance is numerous intramural esophageal contrast-filled diverticulosis-like pouches - 4 mm in depth ."
],
"offsets": [
[
0,
571
]
]
}
] |
[
{
"id": "DerChirurg.80690471.eng.abstr-s1-t1",
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"Esophageal"
],
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10
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"db_id": "C0014852"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"disease"
],
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]
],
"normalized": [
{
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"db_id": "C0012634"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s1-t3",
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"text": [
"etiology"
],
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79,
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]
],
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}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"male"
],
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115,
119
]
],
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},
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]
},
{
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"text": [
"patients"
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120,
128
]
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"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"disease"
],
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[
160,
167
]
],
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"db_id": "C0012634"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"dilatation"
],
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[
188,
198
]
],
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{
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}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-t3",
"type": "umlsterm",
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"esophageal"
],
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206,
216
]
],
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{
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}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Stenosis"
],
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[
255,
263
]
],
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{
"db_name": "UMLS",
"db_id": "C0009814"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"esophagitis"
],
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[
274,
285
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],
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{
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]
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-t3",
"type": "umlsterm",
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"patients"
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355,
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],
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}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-t1",
"type": "umlsterm",
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"All"
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366,
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}
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},
{
"id": "DerChirurg.80690471.eng.abstr-s4-t2",
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}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"dysphagia"
],
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[
394,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0011168"
}
]
},
{
"id": "DerChirurg.80690471.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"esophageal"
],
"offsets": [
[
499,
509
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0014852"
}
]
}
] |
[] |
[] |
[
{
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"type": "associated_with",
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{
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{
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},
{
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},
{
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},
{
"id": "DerChirurg.80690471.eng.abstr-s1-r10-t4.2-t1.1",
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},
{
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"type": "associated_with",
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},
{
"id": "DerChirurg.80690471.eng.abstr-s1-r12-t2.1-t4.1",
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},
{
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},
{
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"type": "degree_of",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r4-t3.1-t2.2",
"type": "degree_of",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s2-t2",
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},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r5-t3.1-t2.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r6-t2.1-t2.2",
"type": "associated_with",
"arg1_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"arg2_id": "DerChirurg.80690471.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r7-t2.1-t3.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r8-t2.1-t1.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r9-t1.1-t2.2",
"type": "degree_of",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s2-r10-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r1-t1.1-t3.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t3",
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},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r2-t2.1-t1.1",
"type": "degree_of",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r3-t1.1-t2.1",
"type": "degree_of",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r4-t2.1-t3.1",
"type": "occurs_in",
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},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r5-t2.1-t1.1",
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},
{
"id": "DerChirurg.80690471.eng.abstr-s3-r6-t1.1-t2.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-r1-t3.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.80690471.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-r2-t3.1-t1.1",
"type": "degree_of",
"arg1_id": "DerChirurg.80690471.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-r3-t1.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerChirurg.80690471.eng.abstr-s4-r4-t1.1-t3.1",
"type": "degree_of",
"arg1_id": "DerChirurg.80690471.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.80690471.eng.abstr-s4-t3",
"normalized": []
}
] |
DerChirurg.80690475.eng.abstr
|
DerChirurg.80690475.eng.abstr
|
[
{
"id": "DerChirurg.80690475.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Perforation into the heart is a rare ulcer complication in a hiatal hernia . Because of the massive bleeding , medical help is often in vain . The case of a 73-year-old patient reported by our department confirms this . Endoscopic treatment was not possible because of the extraordinary amount of blood in the stomach , and the high intraoperative blood loss was lethal . If gastric ulcers occur in upper regions of the stomach , the possibility of the presence of an paraesophageal hernia and elective surgical treatment must be considered ."
],
"offsets": [
[
0,
542
]
]
}
] |
[
{
"id": "DerChirurg.80690475.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"heart"
],
"offsets": [
[
21,
26
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018787"
}
]
},
{
"id": "DerChirurg.80690475.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"ulcer"
],
"offsets": [
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] |
DerChirurg.80690477.eng.abstr
|
DerChirurg.80690477.eng.abstr
|
[
{
"id": "DerChirurg.80690477.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a female patient who developed five different tumors between the age of 53 and 62 years . The following tumors were diagnosed , three of which showed endocrine activity : uterine myoma ; hemangiopericytoma of the meninges ; pleural mesothelioma ; preperitoneal leiomyoma ; medullary carcinoma of the thyroid ( sporadic form ) in a hyperthyroid goiter . Coexistence of hyperthyroidism and medullary carcinoma of the thyroid is rare . Paraneoplastically induced hypoglycemia - in this patient induced by the pleural mesothelioma and less by the preperitoneal leiomyoma - is of similarly infrequent occurrence . Tumors of epithelial or mesenchymal origin may cause hypoglycemia as a result of peptide secretion , exerting an insulin-like effect . The detection of IGF-I and IGF-II in the serum confirms the diagnosis . Insulinoma can be differentiated by the absence of hyperinsulinemia ."
],
"offsets": [
[
0,
898
]
]
}
] |
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{
"id": "DerChirurg.80690477.eng.abstr-s1-t3",
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}
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{
"id": "DerChirurg.80690477.eng.abstr-s2-t5",
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"id": "DerChirurg.80690477.eng.abstr-s2-t9",
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] |
DerChirurg.80690481.eng.abstr
|
DerChirurg.80690481.eng.abstr
|
[
{
"id": "DerChirurg.80690481.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The original reason for using the German \" Habilitation \" degree to mean that a candidade had qualified and could conduct research and teach at a university is no longer really valid , as this is being threatened by its importance to further careers . Medical faculties must discuss how this development can be curtailed . In order to check the current situation , the Habilitation degree systems of 36 medical faculties of German universities were compared with the aid of a scoring system . They differed dramatically . Conformity existed only in the demand for a doctoral dissertation , scientific publications and a lecture on approval . Concerning other criteria for qualification there was decreasing consensus in the following order : Habilitation thesis , commitment to teaching , further professional education , participation in congresses , inaugural lecture , qualification to teach , scientific activity , broad background in the discipline , and introduction to the faculty . Application of the scoring system with a maximum of 33 score points resulted in a mean value of 15.2 points and a range from 6 to 29 points . A significant decrease in the score values occurred with increasing age of the Habilitation degree ( P = 0.002 ) . Even if scoring systems are ambiguous and unfair , our analysis revealed serious differences in the quality of the Habilitation degree . Presuming that the German Habilitation degree should be maintained as a high-level qualification , we developed proposals that might be used to standardize this academic examination ."
],
"offsets": [
[
0,
1567
]
]
}
] |
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55
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269
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[] |
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] |
DerChirurg.80690503.eng.abstr
|
DerChirurg.80690503.eng.abstr
|
[
{
"id": "DerChirurg.80690503.eng.abstr-passage-0",
"type": "abstract",
"text": [
"No other disease has exhibited such a significant influence on the behaviour of health care workers ( HCW ) as the AIDS pandemic . Numerous epidemiological data , however , have proven that the overall risk of transmission of the human deficiency virus ( HIV ) during surgical interventions is low ; it is 0.3 % for all types of percutaneous exposures . Nevertheless , there still is a need for wider adoption of safer surgical techniques to reduce the chances of HIV transmission in the operation theatre , which additionally minimize the risk of transmission of other blood-borne pathogens . In the case of occupational exposure to HIV-contaminated blood or body secretions post-exposure prophylaxis should be recommended stratified by the type of exposure and source material ."
],
"offsets": [
[
0,
780
]
]
}
] |
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[] |
[] |
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DerChirurg.80690511.eng.abstr
|
DerChirurg.80690511.eng.abstr
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"Different diseases of the transmissible spongiform encephalopathy ( TSE ) group are known to affect humans and various animals . Owing to the bovine spongiform encephalopathy ( BSE ) epidemic and the description of the new variant of Creutzfeldt-Jakob disease ( nvCJD ) , which is probably linked to BSE , TSE received much attention . The nature of the causative agent is still disputed ; none of the proposed concepts ( prions , viruses ) can explain all features . It is clear , however , that there is a genetic component in susceptibility to infection and in development of disease and that transmission may cross the species barrier . This paper gives an overview of the first results and latest developments of basic TSE research that has focused on in vivo early diagnosis and the prevention of possible ( also iatrogenic ) transmission ."
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[] |
[] |
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] |
DerChirurg.80690522.eng.abstr
|
DerChirurg.80690522.eng.abstr
|
[
{
"id": "DerChirurg.80690522.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Viral hepatitis belongs to the most important infectious diseases worldwide . More than 300 million chronic HBsAg carriers and chronic HCV carriers exist , respectively . High endemic areas of viral hepatitis are Asia , Africa , Latin America and the Near , Middle and Far East . Viral hepatitis is also very important in health care workers . Today viral hepatitis can be differentiated from type A to type E ( G ) based on immunological and molecular assays . While enterally transmitted hepatitis type A and type E only induce acute and rare fulminant disease , hepatitis type B , C and D often induce chronic progressive disease including liver cirrhosis with typical complications due to the portal hypertension and with a high rate of association with the development of primary liver cancer ( HCC ) . This review focusses on viral hepatitis-related surgical problems , including liver transplantation ."
],
"offsets": [
[
0,
909
]
]
}
] |
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DerChirurg.80690546.eng.abstr
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DerChirurg.80690546.eng.abstr
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"Abstract Clinical studies revealed that the size of the margin of resection and the microscopic findings at the edge of the specimen did not influence the rate of recurrence . Regarding early lesions of Crohn's disease , the aim of the present study was to identify morphological alterations which are able to explain the clinical findings and are in accordance with the operative procedure . In the present study the resection margins of 29 patients with Crohn's disease were investigated using the scanning electron microscope . Seventy-three percent of patients with histopathologically unaffected resection margins in the small bowel and 71 % in the large bowel showed early lesions . These consisted of mucosal architectural alterations , epithelial bridge formation and goblet cell hyperplasia and hypertrophy . Curative resection is not possible , independent of the resection margins . The morphological findings underline the correctness of the usual operative procedure , namely limited resections in Crohn's disease ."
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[] |
[] |
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] |
DerChirurg.80690552.eng.abstr
|
DerChirurg.80690552.eng.abstr
|
[
{
"id": "DerChirurg.80690552.eng.abstr-passage-0",
"type": "abstract",
"text": [
"138 surgical institutions in Germany retrospectively answered a questionnaire on available energy sources , techniques of preparation and complications due to the use of electric current in laparoscopic surgery . The median experience in this field of surgery was 6 years . For common laparoscopic operations the majority of surgeons use electrosurgery ; only 8 % never do so . Except in appendectomy , monopolar cautery is preferred for all operations . Other energy devices are of minor importance . The overall number of operations reported was nearly 138 000. The rate of complications due to the use of electric current was 0.1 % . This figure is accomted for inequal part by intra- and postoperative burns . The complication rate is at the lower end of the range known from the literature . Even though the retrospective nature of this analysis may hide a certain number of injuries electric , current plays a minor role for complications in laparoscopic surgery ."
],
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0,
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]
]
}
] |
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DerChirurg.80690558.eng.abstr
|
DerChirurg.80690558.eng.abstr
|
[
{
"id": "DerChirurg.80690558.eng.abstr-passage-0",
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"Transabdominal aortic replacement is the most widely accepted approach for aortic surgery . Several controlled studies report a more favorable outcome after an extraperitoneal incision , yet there are an equal number of papers with contradictory results . The aim of our study was to assess operative trauma after aortic surgery , depending on whether transperitoneal or extraperitoneal access was used . As a parameter for the extent of the surgical trauma the concentration of Interleukin 6 and acute phase proteins ( CRP ) was measured pre- , 6 h and 24 h after aortic surgery . One group consisted of 34 patients scheduled for aortic surgery for exclusion of an abdominal aortic aneurysm . The second group consisted of 26 patients who were operated on for aorto-iliac occlusive disease . Each group was subdivided into an equal group of patients operated on either extra- or transperitoneally . In the retroperitoneal aneurysm patients , a posterolateral access was favored , and in patients with occlusive disease an extraperitoneal anterolateral approach was chosen . As a result patients with an extraperitoneal incision and aorto-iliac occlusive disease required less postoperative respiratory support than those operated on transperitoneally . In this subgroup of patients there was a significantly reduced synthesis of Interleukin 6 and CRP . When a retroperitoneal posterolateral approach was required in aneurysm patients , there was no difference between groups . We conclude from our data that only patients with limited infrarenal aortic access can benefit from the retroperitoneal incision in terms of a reduced immunological reaction ."
],
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0,
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}
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[] |
[] |
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"id": "DerChirurg.80690558.eng.abstr-s11-r1-t1.1-t2.1",
"type": "occurs_in",
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] |
DerChirurg.80690563.eng.abstr
|
DerChirurg.80690563.eng.abstr
|
[
{
"id": "DerChirurg.80690563.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a prospective study , 53 fractures of the distal fifth of the tibia were stabilized by unreamed nailing . Additional involvement of the ankle joint occurred in 18 patients . 50 patients returned for follow-up . In 30 patients tibia and fibula were fractured at the same ( distal ) level ; in 20 patients the fracture of the fibula was located more proximally . In 12 patients the fractures extended into the tibial pilon . Severe soft tissue damage was seen in 24 fractures ( 18 open , 6 closed ) . Ninety percent of all fractures healed uneventfully without further surgical intervention after unreamed nailing . In two patients the unreamed nail had to be exchanged for a reamed tibial nail . Bone grafting and secondary dynamization of the nail by removal of a proximal interlocking bolt were performed in one case each . Thirty-one fractures healed in anatomical position . Valgus or varus angulation of less than 5 ° occurred in 18 patients . One fracture healed with rotatory angulation of 15 ° . The highest rate of complications ( 22 % ) was seen in patients with distal fractures of the fibula without additional plating ( of the fibula ) . There was no deep infection . Tibial fractures close to the ankle joint can be managed by unreamed nailing . Distal fractures of the fibula should be stabilized by additional plating . Because of the unreamed technique of implantation this procedure can also be used in grade II or III open fractures ."
],
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0,
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]
]
}
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] |
[] |
[] |
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DerChirurg.80690571.eng.abstr
|
DerChirurg.80690571.eng.abstr
|
[
{
"id": "DerChirurg.80690571.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intussusception of the appendix vermiformis in adults is an uncommon event . The combination of a mucinous cystadenoma with an intussuscepted appendix is extremely rare . Clinical symptoms are nonspecific ; in most cases the correct diagnosis is not made before surgical exploration . With the radiologic and endoscopic presentation of a polypoid lesion of the caecum , a neoplasm is often considered . Endoscopic appendectomy or disinvagination by enema have been described . Thus the definitive therapy is surgery and depends on the histological diagnosis ."
],
"offsets": [
[
0,
559
]
]
}
] |
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[] |
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DerChirurg.80690574.eng.abstr
|
DerChirurg.80690574.eng.abstr
|
[
{
"id": "DerChirurg.80690574.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Diverticulitis of the vermiform appendix is an often disregarded disease . Diagnosis follows after appendectomy due to inflammatory complications in the form of diverticulitis and appendicitis . Diverticula can also be found as a reason for complaints in histologically unaltered appendix or as an incidental finding . Diverticula of the vermiform appendix are classified as false ( acquired ) or true ( congenital ) . We report on the case of a 57-year-old man with a perforated appendix diverticulum as reason for peritonitis and a paralytic ileus of the colon and small intestine ."
],
"offsets": [
[
0,
584
]
]
}
] |
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] |
[] |
[] |
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] |
DerChirurg.80690577.eng.abstr
|
DerChirurg.80690577.eng.abstr
|
[
{
"id": "DerChirurg.80690577.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 38-year-old polytoxicomanic male patient developed an occlusion of both popliteal arteries associated with an aneurysm of the right common iliac artery . A septic cause was suspected and an antimycotic therapy was instituted , but the diameter of the aneurysm increased to 3 cm during 6 months . Moreover , multiple periarterial abscesses occurred . The aneurysm was resected and the iliacal axis reconstructed in situ , using a superficial femoral vein interposition . Six months after operation , patency was confirmed by duplex sonography . Phlebodynamic examinations showed normal flow functions at the donor site ."
],
"offsets": [
[
0,
621
]
]
}
] |
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"id": "DerChirurg.80690577.eng.abstr-s4-t4",
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}
] |
[] |
[] |
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] |
DerChirurg.80690581.eng.abstr
|
DerChirurg.80690581.eng.abstr
|
[
{
"id": "DerChirurg.80690581.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A deciding factor for the future functioning of a hand with a mutilating hand injury is the self-motivation that the patient brings with him to rehabilitation . This is illustrated in the case of a guitar teacher who returned to his career after subtotal and total finger amputation of his left hand ( used for gripping chords ) . With consistent exercise on his instrument he compensated for the functional deficits of his hand and won a law suit against his employer who denied that he had the physical ability to play the classical guitar . It is more clear than ever that an injured person is jointly responsible , through self-motivation in the working process , for more-or-less complete rehabilitation . It is not uncommon in a system of job-sharing in which several members of the health service ( surgeons , physiotherapists , social workers , general practitioners ) must co-ordinate their work , for the patient - if he does not involve himself - to fall by the wayside . It is shown how inherent and rewarding it can be to support the patient in his desire to return to work . Apart from that , we hope that this example will be an encouragement to those similarly affected ."
],
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[
0,
1187
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.80690597.eng.abstr
|
DerChirurg.80690597.eng.abstr
|
[
{
"id": "DerChirurg.80690597.eng.abstr-passage-0",
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"text": [
"Today a large number of operative procedures on retroperitoneal organs can be performed using minimally invasive techniques . The retroperitoneal space can be reached laparoscopically through the peritoneal cavity or by the direct retroperitoneoscopic approach . The correct anatomical placement of the first trocar is of particular importance in procedures with the patient in lateral decubitus position in order to avoid injuries . The overview is worse than in conventional surgery because of the magnifying effect of the laparoscope , which is , furthermore , positioned very close to the operative field . It is therefore of great importance for the surgeon to use anatomical structures for orientation . The decisive anatomical aspects and landmarks in different minimally invasive operations on retroperitoneal organs are outlined ."
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}
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[] |
[] |
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DerChirurg.80690621.eng.abstr
|
DerChirurg.80690621.eng.abstr
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[
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"id": "DerChirurg.80690621.eng.abstr-passage-0",
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"Laparoscopic pancreatic surgery is technically difficult and demanding owing to its retroperitoneal location and its complex anatomic relationships . Performing these operations requires familiarity with the anatomy of the retroperitoneum and advanced laparoscopic skills . Intracorporeal suturing skills are also mandatory . Due to the small number of operations performed in centers , an evaluation period of at least 5 years is necessary to determine the role of laparoscopic procedures in pancreatic disease processes . However , laparoscopic procedures are beginning to represent an undeniable part of the surgical repertoire against pancreatic pathology ."
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[] |
[] |
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{
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] |
DerChirurg.80690633.eng.abstr
|
DerChirurg.80690633.eng.abstr
|
[
{
"id": "DerChirurg.80690633.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Benign tumors of the pancreatic head are normally treated by a partial duodenopancreatectomy . This operation has been developed for the treatment of malignant alterations in the pancreatic head and includes resection of the gastric bowel , duodenum and common bile duct . The aim of this study was to evaluate whether the less radical duodenum-preserving pancreatic head resection is a suitable surgical procedure in the treatment of benign pancreatic head tumors . From May 1982 to December 1996 , seven patients underwent surgical treatment for benign pancreatic head tumors . Two patients suffered from gastrinoma of the pancreatic head , four exhibited a serous or mucinous cystadenoma , and one patient suffered from an intraductal papillary-mucinous tumor in this region . All patients were treated by duodenum-preserving pancreatic head resection . The operation was easily performed with little blood loss and a low rate of complications . None of the patients had to be reoperated upon due to postoperative surgical complications . After a follow-up period of a median 3 years , six of seven patients were had no recurrence of the disease and were symptom-free . One patient who had initially been operated on for gastrinoma still exhibited high gastrin values postoperatively . The endocrine and exocrine pancreatic function was not impaired in the early and late postoperative phase as compared to the preoperative assessment . From our results , it is concluded that duodenum-preserving pancreatic head resection is an adequately radical , yet organ-preserving procedure for the treatment of benign tumors of the pancreatic head without compromising endocrine and exocrine function ."
],
"offsets": [
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0,
1696
]
]
}
] |
[
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] |
DerChirurg.80690639.eng.abstr
|
DerChirurg.80690639.eng.abstr
|
[
{
"id": "DerChirurg.80690639.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hepatic involvement in hereditary hemorrhagic telangiectasia ( HHT ) is rare . Among local pathologic alterations like fibrosis and cirrhosis , arteriovenous shunts lead to hypercirculatory heart failure and require efficient therapy . Present therapeutic strategies consist of percutaneous selective embolization or complete ligation of the hepatic artery . We describe a 53-year-old woman with HHT in whom percutaneous selective embolization of the left hepatic artery failed because of unfavorable anatomy . Instead of ligation a new method of adjustable banding of the hepatic artery was tested . After small-incision laparotomy an expander prosthesis was put on the proper hepatic artery . By filling the prosthesis via the implanted port system the hepatic perfusion could be reduced under control . This method led to effective reduction of the liver perfusion and heart time volume and to successful treatment of heart failure . The method described is an alternative treatment to ligation of the hepatic artery in cases in which percutaneous embolization failed or is not possible ."
],
"offsets": [
[
0,
1091
]
]
}
] |
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] |
[] |
[] |
[
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DerChirurg.80690642.eng.abstr
|
DerChirurg.80690642.eng.abstr
|
[
{
"id": "DerChirurg.80690642.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Based on two patients suffering from chronic visceral ischemia , the anatomic and pathophysiologic principles prior to surgery are discussed . Antegrade revascularization is supposed to be better hemodynamically . Complete revascularization of multiple arteries seems to be theoretically superior to one-vessel procedures . Within the bypass procedures the aortic-celiac-mesenteric patch bypass could be an excellent surgical possibility combining antegrade with simultaneous revascularization of celiac and superior mesenteric artery ."
],
"offsets": [
[
0,
536
]
]
}
] |
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{
"id": "DerChirurg.80690642.eng.abstr-s4-t4",
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DerChirurg.80690648.eng.abstr
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DerChirurg.80690648.eng.abstr
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DerChirurg.80690656.eng.abstr
|
DerChirurg.80690656.eng.abstr
|
[
{
"id": "DerChirurg.80690656.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since we had the impression that there was an increase in blood loss during mammaplasties after a change in the anesthesiology department responsible , we conducted a study to compare 28 cases from each anesthesiology department . All operations were carried out by the first author in succession using the same operative technique . The two groups did not differ in age , BMI , operative time , weight of resected tissue or preoperative laboratory . Blood loss was calculated from the perioperative drop in hemoglobin and patient's blood volume . Blood pressure , heart rate , medication and intravenous fluid supply were obtained from the anesthetic protocols . Results ( means and standard deviations ) : Group I ( n = 28 ) and [ Group II ( n = 28 ) ] : total resected tissue 1862 +/- 928 g [ 1912 +/- 791 g ] ; Hb-preop . 13.6 +/- 0.9 g/dl [ 13.8 +/- 0.8 g/dl ] ; Hb-postop . 10.8 +/- 1.3 g/dl [ 9.7 +/- 1.3 g/dl ] P = 0.006 ; Blood loss 970 +/- 339 ml [ 1443 +/- 456 ml ] P 0.001. After exclusion of surgical or biological causes hemodynamic effects of the anesthetic techniques were suspected as the reason for the significant difference in blood loss . MAP was elevated only initially , while the heart rate was considerably elevated throughout the procedures in group II . During anesthesia with nitrous oxide and enflurane , the dose of enflurane in group I could be limited to 0.3-0.5 % after initial i . v. administration of 60 to 100 µg sufentanil , while in group II without opioids doses of 0.5-2 % were required . The well-known dose-dependend effect of enflurane on the peripheral vascular tone was not masked by vasoconstrictors at the operative site . Conclusions : Blood loss during mammaplasties can be affected considerably by the anaesthetic technique - even without deliberate hypotension . Sufentanil can indirectly reduce the blood loss by lowering the necessary dose of enflurane . Blood transfusions can be avoided at mammaplasties ."
],
"offsets": [
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0,
1960
]
]
}
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[] |
[] |
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] |
DerChirurg.80690663.eng.abstr
|
DerChirurg.80690663.eng.abstr
|
[
{
"id": "DerChirurg.80690663.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Thirty-seven patients with chronic sinus pilonidalis were treated after total excision by Dufourmentel flap . We saw seroma complications in three and wound infections in two cases . Patients stayed in hospital 6.3 days on an average and were able to work after 2.5 weeks . The method is easy to use . We have not seen a return to sinus problems in any of this cases ."
],
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[
0,
368
]
]
}
] |
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]
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{
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]
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{
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{
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}
]
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{
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157,
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}
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{
"id": "DerChirurg.80690663.eng.abstr-s2-t4",
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151,
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{
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{
"id": "DerChirurg.80690663.eng.abstr-s4-t1",
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]
},
{
"id": "DerChirurg.80690663.eng.abstr-s5-t1",
"type": "umlsterm",
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331,
336
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{
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"db_id": "C0030471"
}
]
}
] |
[] |
[] |
[
{
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{
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},
{
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},
{
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{
"id": "DerChirurg.80690663.eng.abstr-s2-r3-t4.1-t1.1",
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{
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{
"id": "DerChirurg.80690663.eng.abstr-s2-r5-t4.1-t2.1",
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{
"id": "DerChirurg.80690663.eng.abstr-s2-r6-t4.1-t1.1",
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{
"id": "DerChirurg.80690663.eng.abstr-s2-r7-t1.1-t2.1",
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{
"id": "DerChirurg.80690663.eng.abstr-s3-r1-t2.1-t1.1",
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},
{
"id": "DerChirurg.80690663.eng.abstr-s3-r2-t1.1-t2.1",
"type": "uses",
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"arg2_id": "DerChirurg.80690663.eng.abstr-s3-t2",
"normalized": []
}
] |
DerChirurg.80690667.eng.abstr
|
DerChirurg.80690667.eng.abstr
|
[
{
"id": "DerChirurg.80690667.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Necrotizing fasciitis is a rare and potentially fatal infection of the fascia and subcutaneous tissue . We found only few reports about this disease following laparoscopic surgery . A contamination of the abdominal wall at the trocar position with pathogenic aerobic and anaerobic microorganisms in an \" aerosol \" is discussed . An increased incidence is associated with risk factors which lead to compromised tissue perfusion and immunosuppression . Early recognition and aggressive surgical management combined with intravenous antibiotics are crucial to a successful outcome . Various aspects of the pathophysiology , diagnosis and therapy of this severe complication following laparoscopic cholecystectomy are discusses ."
],
"offsets": [
[
0,
725
]
]
}
] |
[
{
"id": "DerChirurg.80690667.eng.abstr-s1-t1",
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"text": [
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12,
21
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],
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"db_id": "C0015645"
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]
},
{
"id": "DerChirurg.80690667.eng.abstr-s1-t2",
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},
{
"id": "DerChirurg.80690667.eng.abstr-s1-t3",
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71,
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}
]
},
{
"id": "DerChirurg.80690667.eng.abstr-s1-t4",
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}
]
},
{
"id": "DerChirurg.80690667.eng.abstr-s1-t5",
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[
0,
21
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"db_id": "C0238124"
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},
{
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{
"id": "DerChirurg.80690667.eng.abstr-s2-t2",
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}
]
},
{
"id": "DerChirurg.80690667.eng.abstr-s2-t3",
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},
{
"id": "DerChirurg.80690667.eng.abstr-s3-t1",
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227,
233
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}
]
},
{
"id": "DerChirurg.80690667.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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304,
311
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},
{
"id": "DerChirurg.80690667.eng.abstr-s3-t3",
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"id": "DerChirurg.80690667.eng.abstr-s4-t1",
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{
"id": "DerChirurg.80690667.eng.abstr-s5-t3",
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"id": "DerChirurg.80690667.eng.abstr-s6-t1",
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{
"id": "DerChirurg.80690667.eng.abstr-s6-t2",
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{
"id": "DerChirurg.80690667.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.80690667.eng.abstr-s6-t4",
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]
},
{
"id": "DerChirurg.80690667.eng.abstr-s6-t5",
"type": "umlsterm",
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{
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]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.80690667.eng.abstr-s1-r1-t2.1-t3.1",
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{
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},
{
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{
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},
{
"id": "DerChirurg.80690667.eng.abstr-s1-r5-t2.1-t1.1",
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},
{
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DerChirurg.80690674.eng.abstr
|
DerChirurg.80690674.eng.abstr
|
[
{
"id": "DerChirurg.80690674.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Primary cardiac sarcomas are malignant neoplasmas of mesenchymal cells . Angiosarcomas , unlike all other primary cardiac sarcomas , are typically found in the right atrium . We present the case of a 52-year-old patient in whom through echocardiography , computed tomography and angiography the precise diagnosis and extent of the tumor was revealed . Surgical treatment consisted of excision of the tumor with right atrium patch-plasty under cardiopulmonary bypass . Despite the successful operation the patient died 6 months later because of metastasis . Very early and precise diagnosis is essential to improve patient survival and prevent the development of metastases ."
],
"offsets": [
[
0,
674
]
]
}
] |
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DerChirurg.80690701.eng.abstr
|
DerChirurg.80690701.eng.abstr
|
[
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"id": "DerChirurg.80690701.eng.abstr-passage-0",
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"The sentinel lymph node dissection ( SLND ) is one of the most striking developments in the treatment of melanoma . Since the first report by Morton et al. in 1992 , the method has been refined , and its use has increased . Introduced as an alternative to elective lymph node dissection ( ELND ) , it has rapidly made its way into clinical practice . SLND allows precise pathologic staging through removal and analysis of a limited number of nodes ( false-negative rate 2 % ) . It distinguishes patients with clinically occult nodal disease from those with tumor-free regional basin who would not benefit from radical dissection . However , the SLND is still an experimental procedure with yet unproven utility ."
],
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712
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}
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] |
[] |
[] |
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] |
DerChirurg.80690708.eng.abstr
|
DerChirurg.80690708.eng.abstr
|
[
{
"id": "DerChirurg.80690708.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of sentinel node biopsy ( SN ) in breast cancer patients is to detect the tumor-draining lymph node by means of isosulfan blue or 99mTc-labelled colloids . SN can be detected in 80 to 85 % of the patients , depending on the size of the tumor . Preoperative lymphoscintigraphy permits the draining nodes along the internal mammary artery also to be visualized . The predictive value of the histological findings of SN for lymph nodes obtained from axillary dissection is about 95 % . Because of different diagnostic procedures using various radiotracers each center has to follow its own learning curve . To be sure that the nodal status derived from a SN procedure is of identical value to axillary dissection about 100 patients have to undergo sentinel node detection , followed by axillary dissection , and concordant results should be obtained in 95 % of them at least . The SN , however , offers a chance of assessing the lymph node at risk for metastasis by more detailed histological procedures . Morbidity as a result of treatment for primary breast cancer can be decreased if only patients suffering from metastatic disease are subjected to axillary dissection . Currently , the indication criteria for a SN procedure should be restricted to small tumors ( T1) with clinically uninvolved axillary status and patients with ductal carcinoma in situ ( DCIS ) ."
],
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}
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] |
[] |
[] |
[
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] |
DerChirurg.80690717.eng.abstr
|
DerChirurg.80690717.eng.abstr
|
[
{
"id": "DerChirurg.80690717.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Recurrence of colorectal carcinomas occurs in about 50 % of the cases with localized neoplasia . It is understood that the tumor recurrence is due to residual micrometastases not found during surgery or extraregional ( peripheral blood or bone marrow ) . We developed a procedure to detect non-visible , abdominal metastases using a radiolabeled anti-tumor cell antibody injected before the operation ( radioimmunoguided surgery , RIGS ) . However , even with the best technique , it is not possible to remove all micrometastasis if a hematogenic dissemination happens . Based on the knowledge of disturbing humoral immune reaction is mounted against shed tumor associated antigens ( TAA ) , we developed a new method to reduce and correct the B cell response and B cell recruitment due to chronic TAA immun complex presentation on follicular dendritic cells ( immune corrective surgery , ICS ) . This method is based on a selective lymphadenectomy . The target lymph nodes were those loaded with TAA-immune complex . The detection method used was the injection of radiolabeled antibody able to recognize the immune complex . From 20 patients ( stage I , II and III ) treated with ICS , 17 survived more than 5 years ' showing a statistically significant increase of survival compared to patients treated with standard procedures . In conclusion , these data show that surgery of colorectal cancer should be selectively extended to specific anatomical regions in order to remove hidden micrometastases , and more importantly , correct postoperative immune processes that could suppress the T cell response against residual tumor cells ."
],
"offsets": [
[
0,
1636
]
]
}
] |
[
{
"id": "DerChirurg.80690717.eng.abstr-s1-t1",
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"text": [
"Recurrence"
],
"offsets": [
[
0,
10
]
],
"normalized": [
{
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"db_id": "C0034897"
}
]
},
{
"id": "DerChirurg.80690717.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"carcinomas"
],
"offsets": [
[
25,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007097"
}
]
},
{
"id": "DerChirurg.80690717.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"neoplasia"
],
"offsets": [
[
85,
94
]
],
"normalized": [
{
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}
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},
{
"id": "DerChirurg.80690717.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"colorectal carcinomas"
],
"offsets": [
[
14,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009403"
}
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[] |
[] |
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DerChirurg.80690725.eng.abstr
|
DerChirurg.80690725.eng.abstr
|
[
{
"id": "DerChirurg.80690725.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hospitals are facing increasing economic pressure . It therefore seems necessary to evaluate the efficiency and effectiveness of medical or surgical interventions . In this study 324 anastomoses ( 167 stapled and 157 hand-sewn ) were performed after randomization during 200 elective operations [ 20.5 % gastrectomies , 14 % gastric resections ( Billroth II ) , 15 % Whipple's procedures , 4 % segmental colonic resections , 18 % right-sided hemicolectomies , 4 % left-sided hemicolectomies , 22 % sigmoid- or anterior rectal resections , 2.5 % total colectomies with pouch-anal anastomoses ] in 200 patients . Postoperative motility ( time to full oral diet , time with naso-gastric tube ) and hospitalization were comparable in both groups . Anastomotic insufficiency was observed in 2.1 % of all patients , five after stapled and two after hand-sewn anastomoses . Hospital mortality was 1.5 % . All stapled anastomoses were performed significantly ( P 0.001 ) faster . However , the cost of material for these anastomoses was significantly ( P 0.001 ) higher , resulting in significantly higher total costs for reconstruction . The time saving for the reconstruction did not influence the total operative time ( except for stapled gastrectomy ) . Therefore , all operations with stapled reconstruction were more expensive than those with sutured reconstruction . The difference was significant for the gastrectomy ( P 0.01 ) , colonic resection ( P 0.01 ) and sigmoid and rectal resection ( P 0.001 ) groups . Stapled and sutured anastomoses are equally effective . Stapled anastomoses are not efficient , however , and should be reserved for individual indications ."
],
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[
0,
1670
]
]
}
] |
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[] |
[] |
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DerChirurg.80690735.eng.abstr
|
DerChirurg.80690735.eng.abstr
|
[
{
"id": "DerChirurg.80690735.eng.abstr-passage-0",
"type": "abstract",
"text": [
"At least 25 % of breast cancer patients develop distant metastases . In spite of increasingly sophisticated palliative therapies , the survival time of patients with metastasis did not appear to be significantly prolonged during the last 25 years ( 19-32 months following diagnosis ) and 95 % of them die from metastatic disease . Therefore , it seems appropriate that the therapeutic risk/benefit ratio and impact on quality of life should be reassessed when asymptomatic patients are treated . Surgical treatment and pulmonary resection for metastatic disease has been proven a valuable therapeutic concept for a variety of malignancies . Three epidemiologically comparable collectives out of a total of 125 patients from our clinic were treated for isolated pulmonary metastasis following breast cancer ( observation period : 1977-1997 ) . Complete data sets could be established for 96 patients and were retrospectively analyzed following stratification into three groups according to their surgical therapy . Twenty-eight patients underwent complete resection ( K ) , 34 had incomplete resections ( I ) and 34 had no surgical intervention for lung metastases ( N ) . Comparison of the three therapy arms concerning stage , histology and receptor levels of the primary tumor , number of metastases , and the disease-free interval yielded no significant differences between groups K , I and N. Patients after complete resection of isolated lung metastases ( group K ) had a mean survival of 79 months ( 5-year survival 80 % , 10-year survival 60 % ) . This was significantly better than groups I and N ( P 0.00002 ) . The mean survival of groups I and N was not significantly different ( 15.5 and 9 months respectively ) . The disease-free interval after operation of the primary tumor had no impact on the survival of group K , but showed a high correlation with the survival of group N ( R2 = 0.81 ) . Complete resection of isolated pulmonary metastases from carcinoma of the breast results in marked prolongation of survival with a low morbidity rate . Hence , routine chest X-ray should be considered an indispensable part of the oncological aftercare in breast cancer patients ."
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[] |
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DerChirurg.80690741.eng.abstr
|
DerChirurg.80690741.eng.abstr
|
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"Between 1986 and 1995 we performed radical hepatic resections ( R0 resections ) in 109 patients with hepatic metastases following colorectal carcinoma . In 50 patients a hepatic arterial port device was implanted for adjuvant regional chemotherapy ( HAI ) . Mitomycin C , 5-fluorouracil , and since 1993 folinic acid have been administered during 6 monthly repeated courses . In 9 patients , the treatment had to be withdrawn because of complications . The remaining 59 patients were not treated . In 73 % of the patients after port implantation mostly minor complications occurred during chemotherapy . Our results confirmed a markedly increased survival rate during the first 3 postoperative years , followed by a prolongation of median survival time of treated patients compared to untreated patients . Nevertheless , the observed differences of median survival were not statistically different . In contrast , the 5-year survival rates of both groups were not different . The frequency , localization , and resectability of recurrences were not influenced by adjuvant chemotherapy . However , the lengthening of mean survival time in the treated group might reflect a delay in the occurrence of early recurrences . In conclusion , adjuvant hepatic arterial chemotherapy following resection of colorectal hepatic metastases might be able to prolong the time until recurrence , but does not help to avoiding it . Therefore , it did not increase the rate of cure following R0 resections of colorectal hepatic metastases in our series . Taking into account the high rate of local complications of the port systems in our series , angiographic controls are strongly recommended prior to each chemotherapeutic cycle ."
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},
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"id": "DerChirurg.80690741.eng.abstr-s12-r1-t2.2-t1.1",
"type": "produces",
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"arg2_id": "DerChirurg.80690741.eng.abstr-s14-t1",
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},
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"id": "DerChirurg.80690741.eng.abstr-s12-r2-t2.2-t5.1",
"type": "result_of",
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},
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},
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"id": "DerChirurg.80690741.eng.abstr-s12-r7-t5.1-t2.2",
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}
] |
DerChirurg.80690747.eng.abstr
|
DerChirurg.80690747.eng.abstr
|
[
{
"id": "DerChirurg.80690747.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Changes in clinical presentation of Crohn's disease ( CD ) , patients ' age at the time of disease manifestation and operation , general condition and duration of medical management were investigated in a retrospective study . 395 operations for CD were divided into consecutive groups and analysed . In an increasing number of cases patients presented with the \" fibrostenotic type \" rather than the \" fistulizing type \" of complaints . The duration of disease and of medical management increased . Patients in later groups were younger and in better general condition . We found a rise in frequency of patients with recurrent CD or prior abdominal surgery for other reasons . Primary surgery for CD increasingly consisted of resection of solitary segments of gut ; in the case of recurrence , of multiple , minimal resections . The average total length of the resected intestine could be significantly reduced . The complication rate was equal in elective and emergency surgery ."
],
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[
0,
981
]
]
}
] |
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"id": "DerChirurg.80690747.eng.abstr-s1-t7",
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"id": "DerChirurg.80690747.eng.abstr-s2-t1",
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"id": "DerChirurg.80690747.eng.abstr-s3-t1",
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"id": "DerChirurg.80690747.eng.abstr-s7-t2",
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"id": "DerChirurg.80690747.eng.abstr-s8-t1",
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"intestine"
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"complication"
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"id": "DerChirurg.80690747.eng.abstr-s9-t2",
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"emergency"
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{
"id": "DerChirurg.80690747.eng.abstr-s9-t3",
"type": "umlsterm",
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"surgery"
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"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.80690747.eng.abstr-s1-r1-t6.1-t2.1",
"type": "affects",
"arg1_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r2-t3.2-t5.1",
"type": "result_of",
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"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r3-t3.2-t1.1",
"type": "result_of",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t1",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r4-t5.1-t6.1",
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},
{
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"type": "occurs_in",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r6-t3.1-t2.1",
"type": "interacts_with",
"arg1_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r7-t6.2-t3.2",
"type": "measurement_of",
"arg1_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r9-t6.1-t3.2",
"type": "affects",
"arg1_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r10-t8.1-t6.1",
"type": "conceptual_part_of",
"arg1_id": "DerChirurg.80690747.eng.abstr-s1-t8",
"arg2_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r11-t5.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.80690747.eng.abstr-s1-t5",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r12-t5.1-t3.2",
"type": "result_of",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r13-t3.2-t4.1",
"type": "conceptual_part_of",
"arg1_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"arg2_id": "DerChirurg.80690747.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r14-t4.1-t3.2",
"type": "conceptual_part_of",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r15-t6.1-t5.1",
"type": "associated_with",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r16-t1.1-t3.1",
"type": "occurs_in",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r17-t8.1-t3.2",
"type": "measurement_of",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r18-t2.1-t6.1",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r19-t1.1-t6.1",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r20-t6.1-t1.1",
"type": "associated_with",
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"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r21-t3.1-t6.1",
"type": "performs",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r22-t1.1-t2.1",
"type": "occurs_in",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r23-t2.1-t3.1",
"type": "interacts_with",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s1-r24-t1.1-t3.2",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s6-r1-t1.1-t3.1",
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},
{
"id": "DerChirurg.80690747.eng.abstr-s7-r1-t1.2-t1.1",
"type": "issue_in",
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"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.80690747.eng.abstr-s9-r1-t1.1-t3.1",
"type": "issue_in",
"arg1_id": "DerChirurg.80690747.eng.abstr-s9-t1",
"arg2_id": "DerChirurg.80690747.eng.abstr-s9-t3",
"normalized": []
}
] |
DerChirurg.80690759.eng.abstr
|
DerChirurg.80690759.eng.abstr
|
[
{
"id": "DerChirurg.80690759.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To ascertain whether preoperative short-term radiotherapy can improve local tumor control and the long-term survival of patients with operable rectal cancer , a prospective randomised trial was performed from 1988 to 1993. Ninety-three patients with rectal cancer were either directly treated with surgery ( n = 46 ) or underwent preoperative radiotherapy with 5 x 3.3 Gy irradiation and operation within 48 h ( n = 47 ) . If indicated ( T4, UICC stage III ) patients also received postoperative irradiation . Comparison of the methods of operation ( abdominoperineal amputation versus anterior resection ) revealed no significant difference in 5-year survival rate ( P = 0.393 ) . Local control of R0-resected tumors was improved after preoperative irradiation ( P = 0.08 ) . The 5-year survival rate was significantly higher after preoperative short-term radiotherapy ( P = 0.027 ) . Preoperative radiotherapy is not an independent factor according to overall survival ( P = 0.078 ) and local recurrence ( P = 0.07 ) . In agreement with the results of other authors the present study indicates improved local tumor control of rectal cancer after preoperative radiation therapy . The 5-year survival rate was significantly better after preoperative radiotherapy than after surgery alone ."
],
"offsets": [
[
0,
1289
]
]
}
] |
[
{
"id": "DerChirurg.80690759.eng.abstr-s1-t1",
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],
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45,
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}
]
},
{
"id": "DerChirurg.80690759.eng.abstr-s1-t2",
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"tumor"
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76,
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}
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},
{
"id": "DerChirurg.80690759.eng.abstr-s1-t3",
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"control"
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},
{
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DerChirurg.80690766.eng.abstr
|
DerChirurg.80690766.eng.abstr
|
[
{
"id": "DerChirurg.80690766.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Incisional hernia repair with conventional techniques ( simple closure , Mayo-technique ) is associated with unacceptable recurrence rates of 30-50 % . Therefore , surgical repair using different prosthetic biomaterials is becoming increasingly popular . Further to favourable results by French hernia surgeons , we studied the results of underlay prosthetic mesh repair using polypropylene mesh in complicated and recurrent incisional hernias . Method : After preparation and excision of the entire hernia sac , the posterior rectus sheath is freed from the muscle bellies on both sides . The peritoneum and posterior rectus sheaths are closed with a continuous looped polyglyconate suture . The prosthesis used for midline hernias is positioned on the posterior rectus sheath and extends far beyond the borders of the myoaponeurotic defect . The anterior rectus sheath is closed with a continuous suture . The prosthesis for lumbar and subcostal hernias is placed in a prepared space between the transverse and oblique muscles . Intraperitoneal placement of the mesh must be avoided . Results : Between January 1996 and August 1997 we performed a total of 33 incisional hernia repairs ( 14 primary hernias , 19 recurrent hernias ) using this technique ( 16 women , 17 men , mean age 56.19 +/- 12.92 years ) . Local complications occurred in four patients ( 12 % ) : superficial wound infection ( n = 2 ) , postoperative bleeding , requiring reoperation ( n = 1 ) , minor hemato-seroma ( n = 1 ) . One patient suddenly died on the 3rd post-operative day from severe pulmonary embolism ( mortality 3 % ) . Twenty-two patients with a minimum follow up to 6 months were re-examined clinically . The average follow-up time for this group was 9 months ( range 6-17 months ) . To date no recurrent hernias have been observed . There were only minor complaints like \" a feeling of tension \" in the abdominal wall ( n = 3 ) and slight pain under physical stress ( n = 6 ) . Conclusions : The use of prosthetic mesh should be considered for repair of large or recurrent incisional hernias , especially in high-risk patients ( obesity , obstructive lung disease ) and complicated hernias . The aforementioned technique of underlay prosthetic repair using polypropylene mesh fixed onto the posterior rectus sheath allows for anatomical and consolidated reconstruction of the damaged abdominal wall with excellent results and low complication rates ."
],
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] |
DerChirurg.80690776.eng.abstr
|
DerChirurg.80690776.eng.abstr
|
[
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"Aim : As an alternative method to the operative revision of benign bile duct strictures , we report the use of a large-bore bile duct prosthesis ( Yamakawa prosthesis ) in one patient . Methods : Bilateral percutaneous transhepatic implantation of Yamakawa prostheses ( 14 F right side , 12 F left side ) was performed without adjunctive balloon dilatation . The prostheses were exchanged every 8 weeks under continuous antibiotic treatment and were finally removed after 8 months . Results : Control cholangiography showed a normal intrahepatic biliary system on the right side and a 50 % stenosis at the orifice of the left hepatic duct . Follow-up over 18 months showed no signs of recurrent disease . Conclusions : In comparison to balloon dilatation and implantation of metallic stents , prolonged bilateral splinting with large-bore Yamakawa prostheses seems to be an alternative for the treatment of benign bile duct strictures ."
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[] |
[] |
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] |
DerChirurg.80690780.eng.abstr
|
DerChirurg.80690780.eng.abstr
|
[
{
"id": "DerChirurg.80690780.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a 34-year-old woman with severe rectal bleeding since the age of 17. The cause of the bleeding was a cavernous haemangioma of the rectum . The extent of the disease was not realised for many years . Sclerosing injections , laser coagulation and even suture ligation were helpful in acute bleeding episodes but did not result in definitive healing . Finally cure was achieved by resection of the rectum and colo-anal sleeve anastomosis . The clinical presentation and the management are described and discussed ."
],
"offsets": [
[
0,
533
]
]
}
] |
[
{
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"woman"
],
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36,
41
]
],
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}
]
},
{
"id": "DerChirurg.80690780.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"age"
],
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83
]
],
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}
]
},
{
"id": "DerChirurg.80690780.eng.abstr-s1-t3",
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"cause"
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[
95,
100
]
],
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"db_id": "C0015127"
}
]
},
{
"id": "DerChirurg.80690780.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"haemangioma"
],
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[
133,
144
]
],
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{
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"db_id": "C0018916"
}
]
},
{
"id": "DerChirurg.80690780.eng.abstr-s1-t5",
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"rectum"
],
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[
152,
158
]
],
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"db_id": "C0034896"
}
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},
{
"id": "DerChirurg.80690780.eng.abstr-s1-t6",
"type": "umlsterm",
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],
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[
123,
144
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],
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"db_id": "C0018920"
},
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"db_id": "C0235752"
}
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},
{
"id": "DerChirurg.80690780.eng.abstr-s2-t1",
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179,
186
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},
{
"id": "DerChirurg.80690780.eng.abstr-s3-t1",
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"injections"
],
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232,
242
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}
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{
"id": "DerChirurg.80690780.eng.abstr-s3-t2",
"type": "umlsterm",
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"laser"
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[
245,
250
]
],
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{
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"db_id": "C0023089"
}
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},
{
"id": "DerChirurg.80690780.eng.abstr-s3-t3",
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"text": [
"coagulation"
],
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[
251,
262
]
],
"normalized": [
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]
},
{
"id": "DerChirurg.80690780.eng.abstr-s3-t4",
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287
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},
{
"id": "DerChirurg.80690780.eng.abstr-s3-t5",
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],
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221,
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{
"id": "DerChirurg.80690780.eng.abstr-s3-t6",
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"db_id": "C0086524"
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},
{
"id": "DerChirurg.80690780.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
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],
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417,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034896"
}
]
}
] |
[] |
[] |
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DerChirurg.80690801.eng.abstr
|
DerChirurg.80690801.eng.abstr
|
[
{
"id": "DerChirurg.80690801.eng.abstr-passage-0",
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"The isolation rate of MRSA from Staphylococcus aureus infections rose to 8.7 % in German hospitals between 1990 and 1995. Patients undergoing surgical treatment or physiotherapy showed a threefold increase in the risk of being colonized or infected with MRSA . Surgical wound infection is the most frequent among MRSA-induced infections ( 28 % ) . The main transmission path of MRSA inside a hospital is bacterial spread from one patient to another through contact with the hands of nursing staff . Therefore , the crucial strategy in avoiding the spread of bacteria is strict hygiene management through hand disinfection . The most widespread therapeutic regimen for simultaneous eradication of nasal colonization and treatment of infection on other body sites is mupirocin nasal ointment combined with parenteral vancomycin application . The non-indicated use of vancomycin , e . g . , for perioperative prophylaxis or prevention of catheter-induced infections , should be avoided , especially after the appearance of vancomycin-intermediately sensitive S. aureus ( VISA ) strains that have been reported recently from Japan and the USA ."
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DerChirurg.80690806.eng.abstr
|
DerChirurg.80690806.eng.abstr
|
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{
"id": "DerChirurg.80690806.eng.abstr-passage-0",
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"text": [
"Since the mid-1980s increasing numbers of severe group A streptococcal infections ( Streptococcus pyogenes ) have been reported worldwide . Younger , healthy patients after minor local trauma are most commonly afflicted . The infection is characterized by a rapid course with shock , sepsis , multiorgan failure , soft-tissue infection and a high mortality rate . This special disease has been termed \" streptococcal toxic shock-like syndrome \" . The M-proteins , especially types 1 and 3 , and the streptococcal pyrogenic exotoxin A ( speA ) might play an important role in the pathogenesis of the infection . High dose therapy with antibiotics , monitoring in the intensive care unit and early , aggressive and often multiple debridement of necrotic soft tissue are necessary to save the patient's life ."
],
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DerChirurg.80690813.eng.abstr
|
DerChirurg.80690813.eng.abstr
|
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{
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"In more than 80 % of cases , intra-abdominal abscesses derive from an intra-abdominal organ , and in most cases they develop after operative procedures . Regarding anatomy , intra-abdominal abscesses can be devided into intra-peritoneal and visceral abscesses and those located in the anterior retroperitoneal space . Despite improvements in ultrasonography , CT is still the most effective method in diagnosis and therapy . Percutaneous ultrasound or CT-guided drainage is a therapy characterized by low procedural morbidity and is successful in 80 % of cases if strict criteria are met . Complicated abscesses and those cases in which the underlying disease has to be treated require surgical intervention . Most liver abscesses are treated interventionally ; in abscesses of the pancreas or spleen and in Crohn's disease , surgery is necessary . The combination with sufficient antibiotic drug therapy is very important . Specific infectious diseases appearing as intra-abdominal conglomerates ( tuberculosis , actinomycosis , amebiasis ) lead to a delay in diagnostics because of their scarcity and are characterized by special patho-anatomical , diagnostic and therapeutic features . The crucial thing is to take a specific infection into consideration ."
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[] |
[] |
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DerChirurg.80690821.eng.abstr
|
DerChirurg.80690821.eng.abstr
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"id": "DerChirurg.80690821.eng.abstr-passage-0",
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"text": [
"Thoracic empyema may be based on four different etiologic mechanisms of infection : ( 1 ) parapneumonic , ( 2 ) posttraumatic , ( 3 ) postspecific , ( 4 ) postsurgical . According to morphologic processes , three different time-dependent stages may be present : ( 1 ) exudative phase , ( 2 ) fibrino-purulent phase , ( 3 ) organization and pleural peel formation . Diagnosis and pleural puncture are based on the findings of thoracic CT and transthoracic ultrasonography . Thoracocentesis , however - even if performed repeatedly - is not an appropriate treatment of empyema . Chest tube drainage and irrigation of the pleural cavity is appropriate only in stage I and early stage II disease to re-establish total lung inflation and healing without pleural peel formation . Selected stage II cases may benefit from video-assisted débridement , but a 30 % conversion rate to open thoracotomy has to be assumed . Residual organized cavities , loculated peels etc. require open thoracotomy and empyemectomy , decortication or combined maneuvers . For treatment quality and outcome it is not only decisive to remove the source of infection but also to reexpand the entire lung without remaining restrictive peels and without relevant leaks ."
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[] |
[] |
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DerChirurg.80690840.eng.abstr
|
DerChirurg.80690840.eng.abstr
|
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{
"id": "DerChirurg.80690840.eng.abstr-passage-0",
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"text": [
"In vitro culture of peritoneal explants of neonatal rats after previous application of agents simulating wound antisepsis is a sensitive screening method for the determination of the tissue compatibility of local wound antiinfectives . Two test models are differentiated : ( 1 ) separated peritoneal explants as a model for chronic or deep wounds and ( 2 ) peritoneum in situ in the experimental animal with subsequent extraction and cultivation of the explants . Considering the present state of knowledge the following conclusions can be drawn regarding antisepsis of wounds : Lavasept ( 0.1 % ) may be classified as the agent of choice for deep and chronic wounds , for drip-suck irrigation and for antiinfective lavage of body cavities inclusively for peritoneal lavage ( 0,05 % ) . Taurolidin is antiseptically effective in long term application ( > 6 h ) , and because of its antitoxic effect as well as lack of cytotoxicity it is especially suitable for peritoneal lavage . Betaisodona solution is very well suited for superficial contaminated wounds and can be used in a dilution of 1 : 10 for short-term rinsing of deep wounds , including body cavities but not for peritoneal lavage . Ethanol causes no inhibition of explant growth and therefore retains its importance in wound antisepsis ."
],
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0,
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]
}
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] |
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